DOUGLAS BRUCE MCKENZIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

DOUGLAS BRUCE

Last Name

MCKENZIE

Suffix

Business Name

DOUGLAS BRUCE MCKENZIE MD

Original Issue Date

04/23/1984

Effective Date

04/23/1984

Expiration Date

07/31/1987

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006