DAVID BRUCE MANSUR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030322

License Status

EXPIRED

Business

First Name

DAVID

Middle

BRUCE

Last Name

MANSUR

Suffix

Business Name

DAVID BRUCE MANSUR MD

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006