OWAISE MOHAMMED YUSUF MANSURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

OWAISE

Middle

MOHAMMED YUSUF

Last Name

MANSURI

Business Name

OWAISE MOHAMMED YUSUF MANSURI MD

Original Issue Date

01/04/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023