MCKENZIE DICKSON GREENE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006947

License Status

ACTIVE

Business

First Name

MCKENZIE

Middle

DICKSON

Last Name

GREENE

Business Name

MCKENZIE DICKSON GREENE

Original Issue Date

02/15/2019

Effective Date

01/05/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025