MUJTABA A ANSARI MD - Medical Doctor License in Illinois | # 125032439

MUJTABA A ANSARI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032439

License Status

EXPIRED

Business

N

First Name

MUJTABA

Middle

A

Last Name

ANSARI

Suffix

MD

Business Name

MUJTABA A ANSARI MD

Original Issue Date

04/17/1995

Effective Date

04/17/1995

Expiration Date

08/16/2000

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006