MOHAMMAD JAMAL UDDIN ANSARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

MOHAMMAD

Middle

JAMAL UDDIN

Last Name

ANSARI

Business Name

MOHAMMAD JAMAL UDDIN ANSARI MD

Original Issue Date

04/11/2018

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PARLIN

State

Zip

08859

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021