DEBABRATA BANERJI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

DEBABRATA

Last Name

BANERJI

Suffix

Business Name

DEBABRATA BANERJI MD

Original Issue Date

01/13/1999

Effective Date

01/13/1999

Expiration Date

07/31/2002

City

EAST ST LOUIS

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006