RACHEL RENEE MACKMIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007752

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

RENEE

Last Name

MACKMIN

Business Name

RACHEL RENEE MACKMIN

Original Issue Date

06/11/2020

Effective Date

06/11/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

07/27/2022