SAURABH KUMAR BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

SAURABH

Middle

KUMAR

Last Name

BANSAL

Suffix

Business Name

SAURABH KUMAR BANSAL MD

Original Issue Date

07/07/2011

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023