LAUREN MARIE MACKINNON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078563

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

MARIE

Last Name

MACKINNON

Business Name

LAUREN MARIE MACKINNON DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/30/2024