NEAL ALLAN MASK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

NEAL ALLAN

Last Name

MASK

Suffix

Business Name

NEAL ALLAN MASK MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006