CHAD MASON LONSFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055200

License Status

EXPIRED

Business

Title

First Name

CHAD

Middle

MASON

Last Name

LONSFORD

Business Name

CHAD MASON LONSFORD MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2009

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009