MOHAMED MAHMOUD EL-ANSARY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

MOHAMED MAHMOUD

Last Name

EL-ANSARY

Business Name

MOHAMED MAHMOUD EL-ANSARY MD

Original Issue Date

10/04/1999

Effective Date

10/04/1999

Expiration Date

07/31/2002

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020