ASTRID KYLE MACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116950

License Status

ACTIVE

Business

First Name

ASTRID

Middle

KYLE

Last Name

MACK

Suffix

Business Name

ASTRID KYLE MACK MD

Original Issue Date

09/15/2006

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

07/17/2023