NADEEM ANSARI 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

NADEEM

Last Name

ANSARI

Suffix

Business Name

NADEEM ANSARI MD

Original Issue Date

12/11/1985

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023