ANNA P MACKENDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055770

License Status

CANCELLED

Business

Title

First Name

ANNA

Middle

Last Name

MACKENDER

Business Name

ANNA P MACKENDER MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

WHEATON

State

Zip

60189

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/24/2009