PRIYA J BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103919

License Status

ACTIVE

Business

Title

First Name

PRIYA

Middle

Last Name

BANSAL

Business Name

PRIYA J BANSAL MD

Original Issue Date

12/15/2000

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

07/10/2023