CRAIG MACKEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078006

License Status

EXPIRED

Business

Title

First Name

CRAIG

Last Name

MACKEN

Business Name

CRAIG MACKEN MD

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2022

City

ARLINGTON

State

Zip

22201

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022