ASHISH MANI ANSAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ASHISH

Middle

MANI

Last Name

ANSAL

Business Name

ASHISH MANI ANSAL MD

Original Issue Date

06/19/2012

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023