ALFONSE THOMAS MASI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058151

License Status

ACTIVE

Business

First Name

ALFONSE THOMAS

Last Name

MASI

Suffix

Business Name

ALFONSE THOMAS MASI MD

Original Issue Date

11/20/1978

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

04/13/2023