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*****81

License Status

NOT RENEWED

Business

Title

First Name

MOHAMED MAHMOUD

Last Name

EL-ANSARY

Business Name

MOHAMED MAHMOUD EL-ANSARY MD

Original Issue Date

06/20/1996

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

FORSYTH

State

Zip

62535

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021