ASMA RAFEEQ ANSARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049787

License Status

EXPIRED

Business

First Name

ASMA

Middle

RAFEEQ

Last Name

ANSARI

Suffix

Business Name

ASMA RAFEEQ ANSARI MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006