M DALE KINZIE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032797

License Status

INACTIVE

Business

First Name

M DALE

Last Name

KINZIE

Suffix

Business Name

M DALE KINZIE MD

Original Issue Date

06/08/1954

Effective Date

06/08/1954

Expiration Date

07/31/1987

City

GOSHEN

State

Zip

46562

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006