License holder summary

Michael Joseph Mack is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Michael Joseph Mack is 1425 W Jessamine Ave, St. Paul, MN 55108. This doctor license is not current. The license was granted 08/16/1974 and expired on 12/31/1977.

Department of Safety and Professional Services

Board of Medical Practice

Michael Joseph Mack
Medical - Physician And Surgeon
License number
21620
Date granted
08/16/1974
Date expires
12/31/1977
Class
Medical - Physician And Surgeon
Status
Canceled
Address
1425 W Jessamine Ave, St. Paul, MN 55108
doctorsminnesota.org
ID 22248851
LAST UPDATED 2024-02-28 16:11:15 UTC

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