MICHEAL PATRICK MACKEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

MICHEAL

Middle

PATRICK

Last Name

MACKEN

Suffix

Business Name

MICHEAL PATRICK MACKEN MD

Original Issue Date

06/19/2000

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023