DIPESH S BANKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109385

License Status

NOT RENEWED

Business

First Name

DIPESH

Middle

Last Name

BANKER

Business Name

DIPESH S BANKER

Original Issue Date

06/11/2003

Effective Date

06/11/2003

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

11373

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006