ALFONSE THOMAS MASI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

ALFONSE THOMAS

Last Name

MASI

Suffix

Business Name

ALFONSE THOMAS MASI MD

Original Issue Date

01/01/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023