MUHAMMAD OMER MUMTAZ ANSARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

MUHAMMAD OMER

Middle

MUMTAZ

Last Name

ANSARI

Business Name

MUHAMMAD OMER MUMTAZ ANSARI MD

Original Issue Date

08/12/2010

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023