ROSEWELL V MACKEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148230

License Status

ACTIVE

Business

Title

First Name

ROSEWELL

Middle

Last Name

MACKEY

Business Name

ROSEWELL V MACKEY MD

Original Issue Date

01/31/2019

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/05/2023