LAUREN MARIE MACKINNON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

LAUREN

Middle

MARIE

Last Name

MACKINNON

Business Name

LAUREN MARIE MACKINNON DO

Original Issue Date

09/30/2024

Effective Date

09/30/2024

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024