AVA R MASTNY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139860

License Status

ACTIVE

Business

Title

First Name

AVA

Middle

Last Name

MASTNY

Business Name

AVA R MASTNY MD

Original Issue Date

02/25/2016

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023