THEOPHILUS MASON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023392

License Status

NOT RENEWED

Business

First Name

THEOPHILUS

Last Name

MASON

Business Name

THEOPHILUS MASON

Original Issue Date

06/17/2021

Effective Date

07/26/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/05/2025