CHARLES ALLEN MASON MD - Physician Assistant License in Illinois | # 085000613

CHARLES ALLEN MASON MD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000613

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CHARLES

Middle

ALLEN

Last Name

MASON

Business Name

CHARLES ALLEN MASON MD

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

03/01/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006