ASIMUL HAQ ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111559

License Status

NOT RENEWED

Business

First Name

ASIMUL

Middle

HAQ

Last Name

ANSARI

Suffix

Business Name

ASIMUL HAQ ANSARI MD

Original Issue Date

06/07/2004

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017