HAYTHAM MANSOUR Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005301

License Status

ACTIVE

Business

First Name

HAYTHAM

Last Name

MANSOUR

Business Name

HAYTHAM MANSOUR

Original Issue Date

07/06/2006

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2024