JELRIZA CLAIRE B MANSOURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126059

License Status

NOT RENEWED

Business

First Name

JELRIZA CLAIRE

Middle

Last Name

MANSOURI

Suffix

Business Name

JELRIZA CLAIRE B MANSOURI MD

Original Issue Date

06/14/2010

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014