BASANTI S BANERJI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062998

License Status

INACTIVE

Business

First Name

BASANTI S

Last Name

BANERJI

Suffix

Business Name

BASANTI S BANERJI MD

Original Issue Date

08/24/1981

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2017