KATHLEEN MARIE MANSOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

MANSOUR

Suffix

Business Name

KATHLEEN MARIE MANSOUR MD

Original Issue Date

01/04/2007

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023