MASON PAUL MAKDESI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048751

License Status

EXPIRED

Business

Title

First Name

MASON

Middle

PAUL

Last Name

MAKDESI

Business Name

MASON PAUL MAKDESI MD

Original Issue Date

07/15/2004

Effective Date

07/15/2004

Expiration Date

07/14/2007

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/25/2007