HAYTHAM MANSOUR Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

HAYTHAM

Last Name

MANSOUR

Business Name

HAYTHAM MANSOUR

Original Issue Date

12/22/2010

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025