LAWRENCE DAVID MASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

DAVID

Last Name

MASON

Suffix

Business Name

LAWRENCE DAVID MASON MD

Original Issue Date

02/02/2000

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023