JAIME LUIS VELASCO MASSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

JAIME

Middle

LUIS

Last Name

VELASCO MASSON

Business Name

JAIME LUIS VELASCO MASSON MD

Original Issue Date

03/07/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63014

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021