JOHN ANTHONY MANSOUR JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155381

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

ANTHONY

Last Name

MANSOUR JR

Business Name

JOHN ANTHONY MANSOUR JR DO

Original Issue Date

01/22/2021

Effective Date

01/22/2021

Expiration Date

07/31/2023

City

ORANGE PARK

State

Zip

32073

Ever Disciplined

LastModifiedDate

11/30/2023