PIERROT ABI MANSOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

PIERROT

Last Name

ABI MANSOUR

Suffix

Business Name

PIERROT ABI MANSOUR MD

Original Issue Date

08/06/1987

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023