ANSAR UI-HAQ ANSARI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****73

NOT RENEWED

N

ANSAR UI-HAQ

ANSARI

MD

ANSAR UI-HAQ ANSARI MD

08/01/1989

08/01/1989

07/31/1993

WINCHESTER

IL

62694

SCOTT

II III IV V

N

04/05/2020