MACKENZIE F BELAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011411

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

Last Name

BELAN

Business Name

MACKENZIE F BELAN

Original Issue Date

07/20/2005

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

SUBLETTE

State

Zip

61367

County

LEE

Ever Disciplined

LastModifiedDate

05/09/2024