AUDLEY M MACKEL III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065567

License Status

NOT RENEWED

Business

First Name

AUDLEY M

Last Name

MACKEL III

Suffix

Business Name

AUDLEY M MACKEL III MD

Original Issue Date

10/29/1982

Effective Date

10/29/1982

Expiration Date

07/31/1999

City

SHAKER HEIGHTS

State

Zip

44122

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006