SOPHIA ANNA MONSOUR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

SOPHIA

Middle

ANNA

Last Name

MONSOUR

Business Name

SOPHIA ANNA MONSOUR DO

Original Issue Date

06/10/2023

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023