CHRISTOPHER N MASCIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

MASCIO

Business Name

CHRISTOPHER N MASCIO

Original Issue Date

09/01/2010

Effective Date

12/19/2011

Expiration Date

03/01/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2014