TERRY MASON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059147

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

MASON

Suffix

Business Name

TERRY MASON MD

Original Issue Date

08/20/1979

Effective Date

11/07/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021