MARION E MASS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MARION E

Last Name

MASS

Business Name

MARION E MASS

Original Issue Date

08/18/1997

Effective Date

08/18/1997

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006