SHAHEDA M MANSURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070613

License Status

ACTIVE

Business

First Name

SHAHEDA

Middle

Last Name

MANSURI

Suffix

Business Name

SHAHEDA M MANSURI MD

Original Issue Date

05/23/1985

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/11/2023