DAVID ALEXANDER ANSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

DAVID ALEXANDER

Last Name

ANSELL

Suffix

Business Name

DAVID ALEXANDER ANSELL MD

Original Issue Date

01/14/2008

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023