ASMA RAFEEQ ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ASMA

Middle

RAFEEQ

Last Name

ANSARI

Suffix

Business Name

ASMA RAFEEQ ANSARI MD

Original Issue Date

04/06/2009

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017