PAUL DOUGLAS MASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

PAUL DOUGLAS

Last Name

MASON

Business Name

PAUL DOUGLAS MASON

Original Issue Date

08/16/1982

Effective Date

06/22/2018

Expiration Date

01/31/2022

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022