MACKENZIE FAITH THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010646

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

FAITH

Last Name

THOMPSON

Business Name

MACKENZIE FAITH THOMPSON

Original Issue Date

08/26/2024

Effective Date

08/26/2024

Expiration Date

03/01/2026

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

12/03/2025