ERIN NICOLE MACKO DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001780

License Status

CANCELLED

Business

Title

DDS

First Name

ERIN

Middle

NICOLE

Last Name

MACKO

Business Name

ERIN NICOLE MACKO DDS

Original Issue Date

07/09/2010

Effective Date

06/23/2010

Expiration Date

06/22/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/09/2010