JAMEL IZZUDDIN MANSUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

JAMEL

Middle

IZZUDDIN

Last Name

MANSUR

Business Name

JAMEL IZZUDDIN MANSUR MD

Original Issue Date

12/30/2025

Effective Date

12/30/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025