MARY E MCCORMACK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020836

License Status

EXPIRED

Business

First Name

MARY E

Last Name

MCCORMACK

Suffix

Business Name

MARY E MCCORMACK DO

Original Issue Date

05/13/1987

Effective Date

05/13/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006