OWAISE MOHAMMED YUSUF MANSURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054604

License Status

CANCELLED

Business

Title

First Name

OWAISE

Middle

MOHAMMED YUSUF

Last Name

MANSURI

Business Name

OWAISE MOHAMMED YUSUF MANSURI MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

CHAMPAIGN

State

Zip

61822

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/29/2008