SANJOLEE MANGAT ANSARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045490

License Status

EXPIRED

Business

First Name

SANJOLEE

Middle

MANGAT

Last Name

ANSARI

Suffix

Business Name

SANJOLEE MANGAT ANSARI MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006