BANSARI S GUJAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110761

License Status

NOT RENEWED

Business

First Name

BANSARI

Middle

Last Name

GUJAR

Business Name

BANSARI S GUJAR

Original Issue Date

01/30/2004

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

TOWSON

State

Zip

21286

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/17/2014