THOMAS J MACK Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

THOMAS J

Last Name

MACK

Business Name

THOMAS J MACK

Original Issue Date

01/13/2023

Effective Date

12/17/2024

Expiration Date

01/31/2027

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2024