THEOPHILUS MASON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

NOT RENEWED

Business

First Name

THEOPHILUS

Last Name

MASON

Business Name

THEOPHILUS MASON

Original Issue Date

03/20/2023

Effective Date

03/20/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025