PANKAJ BANSAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

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

11/16/2011

Expiration Date

07/31/2014

City

EAU CLAIRE

State

Zip

54701

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2020