JASON NATHANIEL MACKLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133462

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

NATHANIEL

Last Name

MACKLIS

Business Name

JASON NATHANIEL MACKLIS MD

Original Issue Date

07/02/2013

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023