SHARAD BANSAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032428

License Status

EXPIRED

Business

First Name

SHARAD

Last Name

BANSAL

Business Name

SHARAD BANSAL

Original Issue Date

04/11/1995

Effective Date

04/11/1995

Expiration Date

06/25/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006