LAWRENCE EDWARD MASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165714

License Status

ACTIVE

Business

Title

First Name

LAWRENCE

Middle

EDWARD

Last Name

MASON

Business Name

LAWRENCE EDWARD MASON MD

Original Issue Date

07/05/2023

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40299

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/26/2024