MUJTABA A ANSARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032439

License Status

EXPIRED

Business

First Name

MUJTABA

Middle

Last Name

ANSARI

Suffix

Business Name

MUJTABA A ANSARI MD

Original Issue Date

04/17/1995

Effective Date

04/17/1995

Expiration Date

08/16/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006