H WALLACE D MACKENZIE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036016917

License Status

INACTIVE

Business

First Name

H WALLACE D

Last Name

MACKENZIE

Suffix

Business Name

H WALLACE D MACKENZIE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006