DOUGLAS MASON DPM - Podiatrist License in Illinois | # 016004384

DOUGLAS MASON DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004384

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Last Name

MASON

Suffix

DPM

Business Name

DOUGLAS MASON DPM

Original Issue Date

03/27/1990

Effective Date

12/31/2008

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011