IBRAHIM MANSOOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048943

License Status

CANCELLED

Business

First Name

IBRAHIM

Last Name

MANSOOR

Suffix

Business Name

IBRAHIM MANSOOR MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006