FARHANA MANSOOB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042184

License Status

EXPIRED

Business

First Name

FARHANA

Last Name

MANSOOB

Suffix

Business Name

FARHANA MANSOOB MD

Original Issue Date

10/16/2000

Effective Date

10/16/2000

Expiration Date

10/15/2003

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006