MACKENZIE THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

MACKENZIE

Last Name

THOMPSON

Business Name

MACKENZIE THOMPSON

Original Issue Date

06/12/2023

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

OLNEY

State

Zip

62450

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026