MARION E MASS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093473

License Status

NOT RENEWED

Business

First Name

MARION E

Last Name

MASS

Business Name

MARION E MASS

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006