RICHARD W MASON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024223

License Status

EXPIRED

Business

First Name

RICHARD W

Last Name

MASON

Suffix

Business Name

RICHARD W MASON DO

Original Issue Date

06/24/1989

Effective Date

06/24/1989

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006