ELLEN DEBORAH MASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

ELLEN DEBORAH

Last Name

MASON

Suffix

Business Name

ELLEN DEBORAH MASON MD

Original Issue Date

11/21/1983

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHCIAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023