ASIMUL HAQ ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ASIMUL

Middle

HAQ

Last Name

ANSARI

Suffix

Business Name

ASIMUL HAQ ANSARI MD

Original Issue Date

07/01/2004

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017