MAKENZIE ELAINE UTTERBACK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011481

License Status

ACTIVE

Business

First Name

MAKENZIE

Middle

ELAINE

Last Name

UTTERBACK

Business Name

MAKENZIE ELAINE UTTERBACK

Original Issue Date

07/29/2025

Effective Date

07/29/2025

Expiration Date

03/01/2026

City

TERRE HAUTE

State

Zip

47803

Ever Disciplined

LastModifiedDate

12/03/2025