ANSUL ASAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

ANSUL

Last Name

ASAD

Suffix

Business Name

ANSUL ASAD MD

Original Issue Date

09/24/2008

Effective Date

09/24/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020