CARA L MACK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

First Name

CARA L

Last Name

MACK

Suffix

Business Name

CARA L MACK MD

Original Issue Date

09/03/1996

Effective Date

09/03/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

10/09/2006