HAYTHAM MANSOUR - Podiatrist License in Illinois | # 135000584

HAYTHAM MANSOUR

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000584

License Status

EXPIRED

Business

N

First Name

HAYTHAM

Last Name

MANSOUR

Business Name

HAYTHAM MANSOUR

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2007