License holder summary

Dr. NICOL IAN MACKENZIE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. NICOL IAN MACKENZIE is 455 CANYON DEL REY BLVD STE 411 MONTEREY CA 93940. This licensed professional license is not current. The license was granted 07/27/2009 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

Dr. NICOL IAN MACKENZIE
Board Of Medicine
License number
M-10768
Date granted
07/27/2009
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
455 CANYON DEL REY BLVD STE 411 MONTEREY CA 93940
idaholicensing.com
ID 48329558
LAST UPDATED 2024-04-28 23:06:32 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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