NELLY K MAC MD - Medical Doctor License in California | # 036056214

NELLY K MAC MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056214

License Status

NOT RENEWED

Business

N

First Name

NELLY K

Last Name

MAC

Suffix

MD

Business Name

NELLY K MAC MD

Original Issue Date

12/16/1977

Effective Date

12/16/1977

Expiration Date

07/31/1984

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006