BENJAMIN DOUGHERTY MASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

DOUGHERTY

Last Name

MASON

Business Name

BENJAMIN DOUGHERTY MASON MD

Original Issue Date

02/10/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023