MOHAMMED SAJID HUSSAIN ANSARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

MOHAMMED SAJID

Middle

HUSSAIN

Last Name

ANSARI

Business Name

MOHAMMED SAJID HUSSAIN ANSARI MD

Original Issue Date

09/10/2021

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023