AMANDA L BANERJI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111434

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BANERJI

Suffix

Business Name

AMANDA L BANERJI DO

Original Issue Date

05/24/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ALAMOGORDO

State

Zip

88310

Ever Disciplined

LastModifiedDate

04/16/2009