DANIEL JOHN MACKEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

DANIEL JOHN

Last Name

MACKEY

Suffix

DDS

Business Name

DANIEL JOHN MACKEY DDS

Original Issue Date

08/02/1983

Effective Date

05/15/2012

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012