RICHARD JONATHAN MACKOOL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000492

License Status

EXPIRED

Business

First Name

RICHARD

Middle

JONATHAN

Last Name

MACKOOL

Suffix

Business Name

RICHARD JONATHAN MACKOOL MD

Original Issue Date

11/01/2012

Effective Date

11/01/2012

Expiration Date

04/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/03/2013