CALIXTO J MASO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CALIXTO J

Last Name

MASO

Suffix

Business Name

CALIXTO J MASO MD

Original Issue Date

01/01/1997

Effective Date

09/21/2017

Expiration Date

09/30/2020

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021