GARY J MASCILAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007124

License Status

NOT RENEWED

Business

First Name

GARY J

Last Name

MASCILAK

Suffix

Business Name

GARY J MASCILAK

Original Issue Date

10/03/1992

Effective Date

10/03/1992

Expiration Date

07/31/1996

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

09/21/2006