License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Mansour Phalsaphie	MD		Verify Specialty Certification	,	IL, IN, OH, VA

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	16183	Surrendered	07/09/1990	02/01/1998

Education History

School	Date Completed	Nature of Training
Faculty Of Medicine, Shiraz University	07/31/1975	Medical or Podiatric School
Loyola U Afl Hospitals, Chicago	12/31/1982	Post-Graduate Training
University Il Medical Center, Chicago	12/31/1981	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Voluntary Surrender of License	01/30/1998	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.