MACK E MCCAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MACK E

Last Name

MCCAIN

Suffix

Business Name

MACK E MCCAIN MD

Original Issue Date

07/12/1989

Effective Date

03/03/2009

Expiration Date

07/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020