MICHAEL ROBERT ANSANI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044225

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

ROBERT

Last Name

ANSANI

Suffix

Business Name

MICHAEL ROBERT ANSANI DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006