ASTRID KYLE MACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

ASTRID

Middle

KYLE

Last Name

MACK

Suffix

Business Name

ASTRID KYLE MACK MD

Original Issue Date

09/15/2006

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023