MOHAMED A MANSOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MOHAMED A

Last Name

MANSOUR

Suffix

Business Name

MOHAMED A MANSOUR MD

Original Issue Date

03/17/1988

Effective Date

03/17/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020