MARK DOUGLAS SACK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

MARK

Middle

DOUGLAS

Last Name

SACK

Suffix

DPM

Business Name

MARK DOUGLAS SACK DPM

Original Issue Date

06/28/2002

Effective Date

01/27/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025