JACK RICHARD MASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010405

License Status

NOT RENEWED

Business

First Name

JACK RICHARD

Last Name

MASON

Business Name

JACK RICHARD MASON

Original Issue Date

09/03/1953

Effective Date

09/03/1953

Expiration Date

09/30/1988

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005