ELLEN DEBORAH MASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066843

License Status

ACTIVE

Business

First Name

ELLEN DEBORAH

Last Name

MASON

Suffix

Business Name

ELLEN DEBORAH MASON MD

Original Issue Date

06/30/1983

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHCIAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023