MACKENZIE D DALY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

MACKENZIE

Middle

Last Name

DALY

Business Name

MACKENZIE D DALY MD

Original Issue Date

03/18/2015

Effective Date

05/28/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023