SUSAN MACKINNON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160672

License Status

ACTIVE

Business

Title

First Name

SUSAN

Last Name

MACKINNON

Business Name

SUSAN MACKINNON MD

Original Issue Date

05/24/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/07/2023