ANNA GENNADYEVNA MACKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149405

License Status

NOT RENEWED

Business

Title

First Name

ANNA

Middle

GENNADYEVNA

Last Name

MACKIN

Business Name

ANNA GENNADYEVNA MACKIN MD

Original Issue Date

05/21/2019

Effective Date

05/06/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023