ERICA LYNNE MACKENZIE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064700

License Status

CANCELLED

Business

Title

First Name

ERICA

Middle

LYNNE

Last Name

MACKENZIE

Business Name

ERICA LYNNE MACKENZIE MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/22/2014