THOMAS J MACK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

MACK

Business Name

THOMAS J MACK

Original Issue Date

06/26/1984

Effective Date

01/04/2023

Expiration Date

01/31/2025

City

PLAINFIELD

State

Zip

60544

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026