KRISTIN D MASON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

KRISTIN

Middle

Last Name

MASON

Suffix

Business Name

KRISTIN D MASON MD

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006