SIMPLEDEEP K BANIPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

SIMPLEDEEP

Middle

Last Name

BANIPAL

Suffix

Business Name

SIMPLEDEEP K BANIPAL MD

Original Issue Date

05/09/2014

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017