MEHRDAD ALI MANSOURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057985

License Status

EXPIRED

Business

First Name

MEHRDAD

Middle

ALI

Last Name

MANSOURI

Suffix

Business Name

MEHRDAD ALI MANSOURI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

10/07/2013