DAVID BRUCE MANSUR MD - Medical Doctor License in Missouri | # 036092961

DAVID BRUCE MANSUR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092961

License Status

INACTIVE

Business

N

First Name

DAVID

Middle

BRUCE

Last Name

MANSUR

Suffix

MD

Business Name

DAVID BRUCE MANSUR MD

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

12/20/2011