NAFIA MANSOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

NAFIA

Last Name

MANSOUR

Suffix

Business Name

NAFIA MANSOUR MD

Original Issue Date

03/19/1985

Effective Date

03/19/1985

Expiration Date

07/31/1996

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011