CLAUDETTE M MACKLIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

CLAUDETTE M

Last Name

MACKLIN

Business Name

CLAUDETTE M MACKLIN

Original Issue Date

10/11/1995

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023