JENNIFER C MACKINNON - Medical Doctor License in Wisconsin | # 036109295

JENNIFER C MACKINNON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109295

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

C

Last Name

MACKINNON

Business Name

JENNIFER C MACKINNON

Original Issue Date

05/20/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

11/14/2011