BASANTI S BANERJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

BASANTI S

Last Name

BANERJI

Suffix

Business Name

BASANTI S BANERJI MD

Original Issue Date

09/25/1981

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017