MICHAEL A WACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026956

License Status

EXPIRED

Business

First Name

MICHAEL A

Last Name

WACK

Suffix

Business Name

MICHAEL A WACK MD

Original Issue Date

05/28/1991

Effective Date

05/28/1991

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006