TAMARA ANN MASON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000534

License Status

EXPIRED

Business

First Name

TAMARA

Middle

ANN

Last Name

MASON

Suffix

Business Name

TAMARA ANN MASON MD

Original Issue Date

10/01/2001

Effective Date

10/01/2001

Expiration Date

10/31/2001

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006