ADNAN ANSARI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078467

License Status

CANCELLED

Business

Title

First Name

ADNAN

Last Name

ANSARI

Prefix

Business Name

ADNAN ANSARI DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/26/2021