ELLEN DEBORAH MASON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012794

License Status

EXPIRED

Business

First Name

ELLEN DEBORAH

Last Name

MASON

Suffix

Business Name

ELLEN DEBORAH MASON MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006