DAVID W MACK MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001925

License Status

NOT RENEWED

Business

Business Name

DAVID W MACK MD SC

Original Issue Date

10/05/1973

Effective Date

10/05/1973

Expiration Date

01/01/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006