TODD M MACK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

MACK

Suffix

DPM

Business Name

TODD M MACK DPM

Original Issue Date

10/17/2003

Effective Date

01/05/2025

Expiration Date

01/31/2027

City

BELLWOOD

State

Zip

60104

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025