AFTAB A ANSARI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050731

License Status

INACTIVE

Business

First Name

AFTAB A

Last Name

ANSARI

Suffix

Business Name

AFTAB A ANSARI MD

Original Issue Date

02/25/1975

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014