License holder summary

LACEY LEE MACKENZIE is a Board Of Medicine licensed to practice in Idaho. The address on file for LACEY LEE MACKENZIE is 260 SUCCOR CREEK RD JORDAN VALLEY OR 97910. This licensed professional license is current. The license was granted 06/06/2007 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LACEY LEE MACKENZIE
Board Of Medicine
License number
LRT-1247
Date granted
06/06/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
260 SUCCOR CREEK RD JORDAN VALLEY OR 97910
idaholicensing.com
ID 48329557
LAST UPDATED 2024-02-29 21:46:15 UTC

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