JONATHAN P MASSIE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069973

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

Last Name

MASSIE

Business Name

JONATHAN P MASSIE MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

05/01/2017