DIANA MACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057440

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

MACK

Suffix

Business Name

DIANA MACK MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1984

City

PITTSBURG

State

Zip

15237

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006