MACKENZIE CAPSHAW ASEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145550

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

CAPSHAW

Last Name

ASEL

Business Name

MACKENZIE CAPSHAW ASEL

Original Issue Date

03/30/2018

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021