MACKENSIE JANE MCBEAIN - Dentist License in Illinois | # 018001973

MACKENSIE JANE MCBEAIN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001973

License Status

NOT RENEWED

Business

N

First Name

MACKENSIE

Middle

JANE

Last Name

MCBEAIN

Business Name

MACKENSIE JANE MCBEAIN

Original Issue Date

09/02/2015

Effective Date

09/02/2015

Expiration Date

06/22/2016

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

03/09/2017