MOHIT BANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121902

License Status

NOT RENEWED

Business

Title

First Name

MOHIT

Last Name

BANSAL

Business Name

MOHIT BANSAL MD

Original Issue Date

09/04/2008

Effective Date

09/04/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011