GEORGE ANSSTAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

NOT RENEWED

N

MD

GEORGE

ANSSTAS

GEORGE ANSSTAS MD

05/11/2018

05/11/2018

09/30/2020

SWANSEA

IL

62226

SAINT CLAIR

PRACTITIONER

II III IV V

N

01/14/2021