HIMANSHU KUMAR BANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

HIMANSHU

Middle

KUMAR

Last Name

BANDA

Business Name

HIMANSHU KUMAR BANDA MD

Original Issue Date

06/13/2017

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021