MICHAEL A WACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089137

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

WACK

Suffix

Business Name

MICHAEL A WACK MD

Original Issue Date

07/25/1994

Effective Date

07/25/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2018