MICHAEL F MASSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MASSA

Suffix

Business Name

MICHAEL F MASSA MD

Original Issue Date

12/08/2003

Effective Date

06/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014