WASEEM HUSAIN ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

WASEEM

Middle

HUSAIN

Last Name

ANSARI

Business Name

WASEEM HUSAIN ANSARI MD

Original Issue Date

07/11/2018

Effective Date

07/11/2018

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021