WALEED MANSOUR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

WALEED

Last Name

MANSOUR

Business Name

WALEED MANSOUR DO

Original Issue Date

12/09/2024

Effective Date

12/09/2024

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2025