AHMED MAHMOUD MANSOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

AHMED

Middle

MAHMOUD

Last Name

MANSOUR

Business Name

AHMED MAHMOUD MANSOUR MD

Original Issue Date

07/11/2025

Effective Date

07/11/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2025