TODD M MACK DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000522

License Status

EXPIRED

Business

First Name

TODD

Middle

Last Name

MACK

Suffix

DPM

Business Name

TODD M MACK DPM

Original Issue Date

07/22/2002

Effective Date

07/22/2002

Expiration Date

06/30/2003

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006