FARHANA MANSOOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108651

License Status

NOT RENEWED

Business

First Name

FARHANA

Last Name

MANSOOB

Suffix

Business Name

FARHANA MANSOOB MD

Original Issue Date

02/25/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

11/14/2011