MAX G MASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

MAX G

Last Name

MASON

Business Name

MAX G MASON

Original Issue Date

02/22/1989

Effective Date

02/22/1989

Expiration Date

09/30/1992

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005