ASIFHUSEN ABDULRAHIM MANSURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069057

License Status

EXPIRED

Business

Title

First Name

ASIFHUSEN

Middle

ABDULRAHIM

Last Name

MANSURI

Business Name

ASIFHUSEN ABDULRAHIM MANSURI MD

Original Issue Date

07/11/2016

Effective Date

07/11/2016

Expiration Date

07/10/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

12/04/2018