JENNIFER C MACKINNON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109295

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

MACKINNON

Business Name

JENNIFER C MACKINNON

Original Issue Date

05/20/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MEQUON

State

Zip

53097

Ever Disciplined

LastModifiedDate

11/14/2011