ANSUL ASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113930

License Status

ACTIVE

Business

First Name

ANSUL

Last Name

ASAD

Suffix

Business Name

ANSUL ASAD MD

Original Issue Date

06/17/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023