INDRANEEL BANERJI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

INDRANEEL

Last Name

BANERJI

Suffix

Business Name

INDRANEEL BANERJI MD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

10/09/2006