ASIF ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113335

License Status

NOT RENEWED

Business

Title

First Name

ASIF

Last Name

ANSARI

Business Name

ASIF ANSARI MD

Original Issue Date

03/25/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FORT KENT

State

Zip

04743

County

MAINE

Ever Disciplined

LastModifiedDate

11/06/2008