SIMPLEDEEP K BANIPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132179

License Status

NOT RENEWED

Business

First Name

SIMPLEDEEP

Middle

Last Name

BANIPAL

Suffix

Business Name

SIMPLEDEEP K BANIPAL MD

Original Issue Date

03/29/2013

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017