MACKENZIE LESH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001002

License Status

EXPIRED

Business

Title

First Name

MACKENZIE

Last Name

LESH

Business Name

MACKENZIE LESH DO

Original Issue Date

11/15/2022

Effective Date

11/15/2022

Expiration Date

05/13/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/06/2024