KENNETH RIDGE MACEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

KENNETH

Middle

RIDGE

Last Name

MACEK

Suffix

Business Name

KENNETH RIDGE MACEK MD

Original Issue Date

03/30/2007

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023