CYNTHIA J MASON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

MASON

Business Name

CYNTHIA J MASON

Original Issue Date

10/08/2009

Effective Date

05/02/2018

Expiration Date

09/30/2020

City

WOOSTER

State

Zip

44691

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021