JACK I KENZLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043841

License Status

NOT RENEWED

Business

First Name

JACK I

Last Name

KENZLER

Suffix

Business Name

JACK I KENZLER MD

Original Issue Date

10/02/1970

Effective Date

10/02/1970

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006