CLIFFORD P MASOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

CLIFFORD

Middle

Last Name

MASOM

Business Name

CLIFFORD P MASOM MD

Original Issue Date

03/13/2020

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023