MACKENZIE GLEE KALIS QUALE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068199

License Status

EXPIRED

Business

Title

First Name

MACKENZIE

Middle

GLEE KALIS

Last Name

QUALE

Business Name

MACKENZIE GLEE KALIS QUALE MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/19/2017