ERIC L MAST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

MAST

Business Name

ERIC L MAST MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008