MANSURA S GHANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

MANSURA

Middle

Last Name

GHANI

Suffix

Business Name

MANSURA S GHANI MD

Original Issue Date

08/18/1998

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023