ASHISH MANI ANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

ASHISH

Middle

MANI

Last Name

ANSAL

Business Name

ASHISH MANI ANSAL MD

Original Issue Date

07/26/2018

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

07/27/2023