NEHA FATIMA ANSARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076705

License Status

EXPIRED

Business

Title

First Name

NEHA

Middle

FATIMA

Last Name

ANSARI

Business Name

NEHA FATIMA ANSARI MD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024