GLENN A MACKIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015315

License Status

EXPIRED

Business

First Name

GLENN A

Last Name

MACKIN

Suffix

Business Name

GLENN A MACKIN MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/23/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006