BENJAMIN F MASON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117411

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

MASON

Suffix

Business Name

BENJAMIN F MASON MD

Original Issue Date

01/04/2007

Effective Date

01/04/2007

Expiration Date

07/31/2008

City

FOREST HILLS

State

Zip

11375

Ever Disciplined

LastModifiedDate

11/06/2008