JOLLY MCKENZIE
Idaho M-6355 Canceled
This Idaho license was held by JOLLY MCKENZIE. The license is no longer active. It was granted on 10/04/1992 and expired on 07/02/1996
LICENSE DETAILS
- License Number: M-6355
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/04/1992 (over 32 years ago)
- Expiry Date: 07/02/1996 (almost 29 years ago)
LOCATIONS
A Residential
2302 Meadowbrook Rd. S.E. Decatur AL 35601