GERALD D MACKEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

GERALD D

Last Name

MACKEY

Business Name

GERALD D MACKEY

Original Issue Date

12/03/2021

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024