SANJOLEE MANGAT ANSARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

SANJOLEE

Middle

MANGAT

Last Name

ANSARI

Suffix

Business Name

SANJOLEE MANGAT ANSARI MD

Original Issue Date

07/25/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023