NICHOLAS FRIES MASTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

FRIES

Last Name

MASTON

Business Name

NICHOLAS FRIES MASTON MD

Original Issue Date

07/31/2023

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023