FIRAS MANSOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

FIRAS

Last Name

MANSOUR

Suffix

Business Name

FIRAS MANSOUR MD

Original Issue Date

05/14/1998

Effective Date

05/14/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011