MACKENZIE POWERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

MACKENZIE

Last Name

POWERS

Business Name

MACKENZIE POWERS

Original Issue Date

12/01/2018

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60660

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026