RYAN ANDREW MACKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134700

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

ANDREW

Last Name

MACKE

Business Name

RYAN ANDREW MACKE MD

Original Issue Date

02/27/2014

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017