PUSHPENDU BANERJEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094954

License Status

NOT RENEWED

Business

First Name

PUSHPENDU

Last Name

BANERJEE

Suffix

Business Name

PUSHPENDU BANERJEE MD

Original Issue Date

03/05/1997

Effective Date

03/05/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006