AFAF E MANSOUR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028803

License Status

EXPIRED

Business

First Name

AFAF E

Last Name

MANSOUR

Business Name

AFAF E MANSOUR

Original Issue Date

06/22/1992

Effective Date

06/22/1992

Expiration Date

06/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006