TODD M MACK DPM - Podiatrist License in Illinois | # 135000522

TODD M MACK DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000522

License Status

EXPIRED

Business

N

First Name

TODD

Middle

M

Last Name

MACK

Suffix

DPM

Business Name

TODD M MACK DPM

Original Issue Date

07/22/2002

Effective Date

07/22/2002

Expiration Date

06/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006