DAVID W MACK MD SC - Medical Corporation License in Illinois | # 042001925

DAVID W MACK MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001925

License Status

NOT RENEWED

Business

Y

Business Name

DAVID W MACK MD SC

Original Issue Date

10/05/1973

Effective Date

10/05/1973

Expiration Date

01/01/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006