KATHRYN MARGARET MANSURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056631

License Status

CANCELLED

Business

Title

First Name

KATHRYN

Middle

MARGARET

Last Name

MANSURI

Business Name

KATHRYN MARGARET MANSURI MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/04/2009