VIBHAV KRISHAN BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136643

License Status

ACTIVE

Business

Title

First Name

VIBHAV

Middle

KRISHAN

Last Name

BANSAL

Business Name

VIBHAV KRISHAN BANSAL MD

Original Issue Date

10/09/2014

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/17/2023