ALLEDA EILEEN MACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061792

License Status

NOT RENEWED

Business

Title

First Name

ALLEDA

Middle

EILEEN

Last Name

MACK

Business Name

ALLEDA EILEEN MACK MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

09/15/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/07/2016