IRFAN ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

IRFAN

Last Name

ANSARI

Suffix

Business Name

IRFAN ANSARI MD

Original Issue Date

06/24/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011