Department of State
Board of Medicine
BASU D BANSTOLA
Dentist
License number
DS040169
Date granted
08/15/2014
Date expires
03/31/2017
Class
Dentist
Status
Active
Address
Gurnee IL 60031
medicinepa.com
ID 37426088
LAST UPDATED 2026-06-19 01:51:04 UTC
LAST UPDATED 2026-06-19 01:51:04 UTC
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