DOUGLAS MASON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Last Name

MASON

Suffix

DPM

Business Name

DOUGLAS MASON DPM

Original Issue Date

02/17/1995

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011