PUSHPENDU BANERJEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

PUSHPENDU

Last Name

BANERJEE

Suffix

Business Name

PUSHPENDU BANERJEE MD

Original Issue Date

03/11/1997

Effective Date

03/11/1997

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006