PANKAJ BANSAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055751

License Status

CANCELLED

Business

Title

First Name

PANKAJ

Last Name

BANSAL

Business Name

PANKAJ BANSAL MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

EAU CLAIRE

State

Zip

54701

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2009