MARY R FLACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017482

License Status

EXPIRED

Business

First Name

MARY R

Last Name

FLACK

Suffix

Business Name

MARY R FLACK MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006