License holder summary

JOLLY MCKENZIE is a Board Of Medicine licensed to practice in Idaho. The address on file for JOLLY MCKENZIE is 2302 Meadowbrook Rd. S.E. Decatur AL 35601. This licensed professional license is not current. The license was granted 10/04/1992 and expired on 07/02/1996.

Idaho

Division of Occupational and Professional Licenses

JOLLY MCKENZIE
Board Of Medicine
License number
M-6355
Date granted
10/04/1992
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
2302 Meadowbrook Rd. S.E. Decatur AL 35601
idaholicensing.com
ID 48354214
LAST UPDATED 2024-02-23 13:48:07 UTC

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