GEORGE ANSSTAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

MD

GEORGE

ANSSTAS

GEORGE ANSSTAS MD

05/11/2018

05/11/2018

09/30/2020

O FALLON

IL

62269

SAINT CLAIR

PRACTITIONER

II III IV V

N

01/14/2021