DOUGLAS BRUCE MCKENZIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064307

License Status

NOT RENEWED

Business

First Name

DOUGLAS BRUCE

Last Name

MCKENZIE

Suffix

Business Name

DOUGLAS BRUCE MCKENZIE MD

Original Issue Date

05/07/1982

Effective Date

05/07/1982

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006