JACK RICHARD MASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000294

License Status

NOT RENEWED

Business

First Name

JACK RICHARD

Last Name

MASON

Business Name

JACK RICHARD MASON

Original Issue Date

12/24/1959

Effective Date

12/24/1959

Expiration Date

09/30/1988

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005