IRFAN MUNIRUDDIN ANKOLKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

IRFAN

Middle

MUNIRUDDIN

Last Name

ANKOLKAR

Suffix

Business Name

IRFAN MUNIRUDDIN ANKOLKAR MD

Original Issue Date

09/18/2007

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023