MOHAMED A MANSOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

MOHAMED A

Last Name

MANSOUR

Suffix

Business Name

MOHAMED A MANSOUR MD

Original Issue Date

07/17/1990

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023