SHAMITA VASANT BANSORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107104

License Status

ACTIVE

Business

First Name

SHAMITA

Middle

VASANT

Last Name

BANSORE

Suffix

Business Name

SHAMITA VASANT BANSORE MD

Original Issue Date

06/04/2002

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2023