AVA R MASTNY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063995

License Status

CANCELLED

Business

Title

First Name

AVA

Middle

Last Name

MASTNY

Business Name

AVA R MASTNY MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014