MICHAEL LARRY MACKNIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058928

License Status

NOT RENEWED

Business

First Name

MICHAEL LARRY

Last Name

MACKNIN

Suffix

Business Name

MICHAEL LARRY MACKNIN MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006