MICHAEL W MASONCUP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

Last Name

MASONCUP

Business Name

MICHAEL W MASONCUP DDS

Original Issue Date

01/01/1998

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

SAINT CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022