ELDON MCKENZIE SAMUEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110698

License Status

ACTIVE

Business

First Name

ELDON

Middle

MCKENZIE

Last Name

SAMUEL

Suffix

Business Name

ELDON MCKENZIE SAMUEL MD

Original Issue Date

01/16/2004

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

GALVA

State

Zip

61434

County

HENRY

Ever Disciplined

LastModifiedDate

07/12/2023