ANISH BANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

ANISH

Last Name

BANSAL

Business Name

ANISH BANSAL MD

Original Issue Date

12/12/2023

Effective Date

12/12/2023

Expiration Date

07/31/2026

City

TROY

State

Zip

48084

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2023