DAVID MICHAEL MACIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060720

License Status

NOT RENEWED

Business

First Name

DAVID MICHAEL

Last Name

MACIAS

Suffix

Business Name

DAVID MICHAEL MACIAS MD

Original Issue Date

08/04/1980

Effective Date

08/04/1980

Expiration Date

07/31/1984

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/20/2006