MARK DOUGLAS MASE DDS - Dentist License in Illinois | # 019015222

MARK DOUGLAS MASE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015222

License Status

NOT RENEWED

Business

N

First Name

MARK DOUGLAS

Last Name

MASE

Suffix

DDS

Business Name

MARK DOUGLAS MASE DDS

Original Issue Date

07/10/1975

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010