KHALIL ANSARIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

KHALIL

Last Name

ANSARIN

Suffix

Business Name

KHALIL ANSARIN MD

Original Issue Date

01/27/2000

Effective Date

01/27/2000

Expiration Date

07/31/2005

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020