MOHAMMED ABDUL MANNAN ANSARI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

MOHAMMED

Middle

ABDUL MANNAN

Last Name

ANSARI

Business Name

MOHAMMED ABDUL MANNAN ANSARI

Original Issue Date

10/18/2024

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026