CLARK R MCKENZIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145592

License Status

ACTIVE

Business

Title

First Name

CLARK

Middle

Last Name

MCKENZIE

Business Name

CLARK R MCKENZIE MD

Original Issue Date

04/03/2018

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

07/21/2023