KYLE EUGENE MASON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

KYLE

Middle

EUGENE

Last Name

MASON

Business Name

KYLE EUGENE MASON

Original Issue Date

08/10/2018

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024