ALEXANDRA T MASON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

Last Name

MASON

Business Name

ALEXANDRA T MASON

Original Issue Date

06/04/2002

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023