PAULINA A MASSA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035481

License Status

EXPIRED

Business

First Name

PAULINA

Middle

Last Name

MASSA

Business Name

PAULINA A MASSA

Original Issue Date

07/30/1996

Effective Date

07/30/1996

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child & Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006