MACKENSIE JANE MCBEAIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001973

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/09/2017