MACKENZIE PHYLLICE PURDY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150496

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

PHYLLICE

Last Name

PURDY

Business Name

MACKENZIE PHYLLICE PURDY

Original Issue Date

08/14/2019

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/11/2025