DAVID A MACK DO - Medical Doctor License in Oregon | # 036052181

DAVID A MACK DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052181

License Status

INACTIVE

Business

N

First Name

DAVID A

Last Name

MACK

Suffix

DO

Business Name

DAVID A MACK DO

Original Issue Date

11/21/1975

Effective Date

11/21/1975

Expiration Date

07/31/1987

State

OR

Ever Disciplined

N

LastModifiedDate

09/20/2006