AHMED MANSOUR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

Title

DMD

First Name

AHMED

Last Name

MANSOUR

Business Name

AHMED MANSOUR DMD

Original Issue Date

08/12/2019

Effective Date

10/21/2021

Expiration Date

09/30/2024

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025