WILLIAM JOSEPH MANSFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109612

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

JOSEPH

Last Name

MANSFIELD

Suffix

Business Name

WILLIAM JOSEPH MANSFIELD MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006