DOUGLAS MASON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004384

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Last Name

MASON

Suffix

DPM

Business Name

DOUGLAS MASON DPM

Original Issue Date

03/27/1990

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/10/2011