TREVOR MASON BORN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000366

License Status

EXPIRED

Business

Title

First Name

TREVOR

Middle

MASON

Last Name

BORN

Business Name

TREVOR MASON BORN MD

Original Issue Date

10/17/2008

Effective Date

10/17/2008

Expiration Date

04/16/2009

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2009