HAYTHAM MANSOUR Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000584

License Status

EXPIRED

Business

First Name

HAYTHAM

Last Name

MANSOUR

Business Name

HAYTHAM MANSOUR

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2007

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2007