PRIYA J BANSAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038229

License Status

EXPIRED

Business

Title

First Name

PRIYA

Middle

Last Name

BANSAL

Business Name

PRIYA J BANSAL MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006