JAMES GLEN MACKENZIE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042973

License Status

EXPIRED

Business

First Name

JAMES

Middle

GLEN

Last Name

MACKENZIE

Suffix

Business Name

JAMES GLEN MACKENZIE DO

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006