MARK DOUGLAS SACK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005080

License Status

ACTIVE

Business

First Name

MARK

Middle

DOUGLAS

Last Name

SACK

Suffix

DPM

Business Name

MARK DOUGLAS SACK DPM

Original Issue Date

05/24/2002

Effective Date

01/27/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025