PRIYA J BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

PRIYA

Middle

Last Name

BANSAL

Business Name

PRIYA J BANSAL MD

Original Issue Date

06/04/2002

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023