NADEEM ANSARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

CANCELLED

Business

First Name

NADEEM

Last Name

ANSARI

Suffix

Business Name

NADEEM ANSARI MD

Original Issue Date

05/19/1999

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

MANTENO

State

Zip

60950

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020