JOHN CHARLES MACKENBACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014748

License Status

NOT RENEWED

Business

First Name

JOHN CHARLES

Last Name

MACKENBACH

Suffix

DDS

Business Name

JOHN CHARLES MACKENBACH DDS

Original Issue Date

12/17/1973

Effective Date

07/08/2015

Expiration Date

09/30/2018

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018