ANTHONY T MCCORMACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

ANTHONY T

Last Name

MCCORMACK

Suffix

Business Name

ANTHONY T MCCORMACK MD

Original Issue Date

08/01/1989

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023