DIANNE A ANSARI-WINN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

DIANNE

Middle

Last Name

ANSARI-WINN

Business Name

DIANNE A ANSARI-WINN MD

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020