JOHN MARK FLACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138254

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

MARK

Last Name

FLACK

Business Name

JOHN MARK FLACK MD

Original Issue Date

06/11/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2023