SHAHID A ANSARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

SHAHID A

Last Name

ANSARI

Suffix

Business Name

SHAHID A ANSARI MD

Original Issue Date

01/01/1997

Effective Date

04/16/2024

Expiration Date

07/31/2026

City

OAKBROOK

State

Zip

60523

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023