License holder summary

DERRICK ANTHONY MACKAVICH is a Osteopathic Physician (Do) - Osteopathic Physician licensed to practice in Michigan. The address on file for DERRICK ANTHONY MACKAVICH is Waterford, MI 48328. This licensed professional license is not current. The license was granted 01/16/2004 and expired on 12/31/2010.

Michigan

Department of Licensing and Regulation

DERRICK ANTHONY MACKAVICH
Osteopathic Physician (Do) - Osteopathic Physician
License number
5101014220
Date granted
01/16/2004
Date expires
12/31/2010
Class
Osteopathic Physician (Do) - Osteopathic Physician
Status
Lapsed
Address
Waterford, MI 48328
michiganlicensing.org
ID 25886792
LAST UPDATED 2024-03-05 03:06:39 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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