WHITNEY PAIGE MACK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142055

License Status

NOT RENEWED

Business

Title

First Name

WHITNEY

Middle

PAIGE

Last Name

MACK

Business Name

WHITNEY PAIGE MACK DO

Original Issue Date

12/02/2016

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021