MANSOUR A MIKY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033693

License Status

EXPIRED

Business

First Name

MANSOUR

Middle

Last Name

MIKY

Business Name

MANSOUR A MIKY

Original Issue Date

06/29/1995

Effective Date

06/29/1995

Expiration Date

06/30/1999

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2006