ANSUL ASAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045423

License Status

EXPIRED

Business

First Name

ANSUL

Last Name

ASAD

Suffix

Business Name

ANSUL ASAD MD

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

08/13/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006