NASIRUDDIN AHMEDBHAI MANSURY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

NASIRUDDIN

Middle

AHMEDBHAI

Last Name

MANSURY

Suffix

Business Name

NASIRUDDIN AHMEDBHAI MANSURY MD

Original Issue Date

02/04/2005

Effective Date

02/04/2005

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020