THOMAS N MACKRELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045557

License Status

NOT RENEWED

Business

First Name

THOMAS N

Last Name

MACKRELL

Suffix

Business Name

THOMAS N MACKRELL MD

Original Issue Date

03/27/1972

Effective Date

03/27/1972

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006