GERALD D MACKEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

GERALD D

Last Name

MACKEY

Business Name

GERALD D MACKEY

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

09/30/1990

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005