DAVID BRUCE MANSUR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092961

License Status

INACTIVE

Business

First Name

DAVID

Middle

BRUCE

Last Name

MANSUR

Suffix

Business Name

DAVID BRUCE MANSUR MD

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/20/2011