MICHAEL DEAN MACK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000322

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

DEAN

Last Name

MACK

Suffix

Business Name

MICHAEL DEAN MACK DO

Original Issue Date

10/30/2007

Effective Date

10/30/2007

Expiration Date

03/29/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

04/18/2008