PAYEL GANGOPADHYAY MACKIE-MASON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067041

License Status

EXPIRED

Business

First Name

PAYEL

Middle

GANGOPADHYAY

Last Name

MACKIE-MASON

Suffix

Business Name

PAYEL GANGOPADHYAY MACKIE-MASON MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

08/23/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/13/2020