KENNETH RIDGE MACEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117591

License Status

ACTIVE

Business

First Name

KENNETH

Middle

RIDGE

Last Name

MACEK

Suffix

Business Name

KENNETH RIDGE MACEK MD

Original Issue Date

02/05/2007

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/17/2023