HENISH ASHISH BHANSALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

HENISH

Middle

ASHISH

Last Name

BHANSALI

Business Name

HENISH ASHISH BHANSALI MD

Original Issue Date

06/17/2013

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023