ANTHONY M MASI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

MASI

Suffix

Business Name

ANTHONY M MASI MD

Original Issue Date

08/27/1993

Effective Date

06/09/2009

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020