RAFAT H ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056317

License Status

NOT RENEWED

Business

First Name

RAFAT H

Last Name

ANSARI

Suffix

Business Name

RAFAT H ANSARI MD

Original Issue Date

01/19/1978

Effective Date

01/19/1978

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006