SHEHNAZ ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SHEHNAZ

Last Name

ANSARI

Suffix

Business Name

SHEHNAZ ANSARI MD

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

07/31/1996

City

WINCHESTER

State

Zip

62694

County

SCOTT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020