ILA BANSAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049175

License Status

EXPIRED

Business

First Name

ILA

Last Name

BANSAL

Suffix

Business Name

ILA BANSAL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006