JAMEL IZZUDDIN MANSUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081101

License Status

ACTIVE

Business

Title

First Name

JAMEL

Middle

IZZUDDIN

Last Name

MANSUR

Business Name

JAMEL IZZUDDIN MANSUR MD

Original Issue Date

11/29/2022

Effective Date

11/29/2022

Expiration Date

11/28/2025

City

CHICAGO

State

Zip

60641

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/29/2022