ROYA MANSOURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039963

License Status

EXPIRED

Business

First Name

ROYA

Last Name

MANSOURI

Suffix

Business Name

ROYA MANSOURI MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006