MAYANK MOHAN KANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

MAYANK

Middle

MOHAN

Last Name

KANSAL

Suffix

Business Name

MAYANK MOHAN KANSAL MD

Original Issue Date

03/15/2006

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023