MACY LEE DASENBROCK - Dentist License in Illinois | # 020016117

MACY LEE DASENBROCK

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016117

License Status

ACTIVE

Business

N

First Name

MACY

Middle

LEE

Last Name

DASENBROCK

Business Name

MACY LEE DASENBROCK

Original Issue Date

05/24/2018

Effective Date

09/26/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2024