JONATHAN P MASSIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151495

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

Last Name

MASSIE

Business Name

JONATHAN P MASSIE MD

Original Issue Date

01/06/2020

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2023