PANKAJ BANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129234

License Status

NOT RENEWED

Business

Title

First Name

PANKAJ

Last Name

BANSAL

Business Name

PANKAJ BANSAL MD

Original Issue Date

11/16/2011

Effective Date

04/01/2020

Expiration Date

07/31/2023

City

EAU CLAIRE

State

Zip

54701

Ever Disciplined

LastModifiedDate

11/30/2023