BRUCE MARK MACKENZIE JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

BRUCE

Middle

MARK

Last Name

MACKENZIE

Suffix

JR MD

Business Name

BRUCE MARK MACKENZIE JR MD

Original Issue Date

07/17/1997

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2023