NASSIR HASSAN MONIM MANSOUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055459

License Status

CANCELLED

Business

Title

First Name

NASSIR

Middle

HASSAN MONIM

Last Name

MANSOUR

Business Name

NASSIR HASSAN MONIM MANSOUR MD

Original Issue Date

10/01/2011

Effective Date

10/01/2011

Expiration Date

09/30/2014

City

BROOKLYN

State

Zip

11220

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

08/11/2011