GLENN A MACKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070674

License Status

NOT RENEWED

Business

First Name

GLENN A

Last Name

MACKIN

Suffix

Business Name

GLENN A MACKIN MD

Original Issue Date

06/03/1985

Effective Date

06/03/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006