JACK MASON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026205

License Status

INACTIVE

Business

First Name

JACK

Last Name

MASON

Suffix

Business Name

JACK MASON MD

Original Issue Date

02/15/1945

Effective Date

02/15/1945

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006