VICKI LYNN MAHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

LYNN

Last Name

MAHAN

Suffix

Business Name

VICKI LYNN MAHAN MD

Original Issue Date

05/02/2000

Effective Date

05/02/2000

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020