VIBHAV KRISHAN BANSAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055320

License Status

EXPIRED

Business

Title

First Name

VIBHAV

Middle

KRISHAN

Last Name

BANSAL

Business Name

VIBHAV KRISHAN BANSAL MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/19/2011