TINA CHARU BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

TINA

Middle

CHARU

Last Name

BANSAL

Business Name

TINA CHARU BANSAL MD

Original Issue Date

02/04/2005

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023