MARK LEO MACKEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

MARK LEO

Last Name

MACKEY

Suffix

Business Name

MARK LEO MACKEY MD

Original Issue Date

07/20/1983

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023