PHILIP A MASKALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067283

License Status

NOT RENEWED

Business

First Name

PHILIP A

Last Name

MASKALL

Suffix

Business Name

PHILIP A MASKALL MD

Original Issue Date

08/17/1983

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023