JAMES GLEN MACKENZIE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111117

License Status

ACTIVE

Business

First Name

JAMES

Middle

GLEN

Last Name

MACKENZIE

Suffix

Business Name

JAMES GLEN MACKENZIE DO

Original Issue Date

03/30/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023