JOHN ANTHONY MANSOUR JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

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

02/09/2021

Effective Date

02/09/2021

Expiration Date

07/31/2023

City

ORANGE PARK

State

Zip

32073

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023