KELLY KATHERYN MACKIE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129577

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

KATHERYN

Last Name

MACKIE

Business Name

KELLY KATHERYN MACKIE DO

Original Issue Date

02/07/2012

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/19/2023