SHRUTEE BANIYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135422

License Status

ACTIVE

Business

Title

First Name

SHRUTEE

Last Name

BANIYA

Business Name

SHRUTEE BANIYA MD

Original Issue Date

06/05/2014

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/04/2023