MARY KAY AUSTIFF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005385

License Status

ACTIVE

Business

First Name

MARY KAY

Last Name

AUSTIFF

Business Name

MARY KAY AUSTIFF

Original Issue Date

08/12/1983

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/16/2024