MYRTLE H RUSSELL MASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041379

License Status

ACTIVE

Business

First Name

MYRTLE

Middle

H RUSSELL

Last Name

MASON

Suffix

Business Name

MYRTLE H RUSSELL MASON MD

Original Issue Date

08/29/1967

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023