ROGER MILTON MACKLIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106675

License Status

INACTIVE

Business

First Name

ROGER

Middle

MILTON

Last Name

MACKLIS

Suffix

Business Name

ROGER MILTON MACKLIS MD

Original Issue Date

04/01/2002

Effective Date

04/01/2002

Expiration Date

07/31/2005

City

CLEVELAND

State

Zip

44195

County

OHIO

Ever Disciplined

LastModifiedDate

07/07/2014