MARK ANTHONY MACAK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DMD

First Name

MARK

Middle

ANTHONY

Last Name

MACAK

Business Name

MARK ANTHONY MACAK DMD

Original Issue Date

10/29/2023

Effective Date

10/29/2023

Expiration Date

09/30/2024

City

MONEE

State

Zip

60449

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025