M DALE KINZIE MD - Medical Doctor License in Indiana | # 036032797

M DALE KINZIE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032797

License Status

INACTIVE

Business

N

First Name

M DALE

Last Name

KINZIE

Suffix

MD

Business Name

M DALE KINZIE MD

Original Issue Date

06/08/1954

Effective Date

06/08/1954

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006