MAUREEN ALICE C MACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051384

License Status

NOT RENEWED

Business

First Name

MAUREEN ALICE C

Last Name

MACK

Suffix

Business Name

MAUREEN ALICE C MACK MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

City

CHATHAM

State

Zip

62629

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006