ANSEL PHILIP AMARAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065316

License Status

CANCELLED

Business

Title

First Name

ANSEL

Middle

PHILIP

Last Name

AMARAL

Business Name

ANSEL PHILIP AMARAL MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2014