MARIAM MANSOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082292

License Status

ACTIVE

Business

Title

First Name

MARIAM

Last Name

MANSOUR

Business Name

MARIAM MANSOUR MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/17/2023