AUDREY C MANSFIELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015145

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

MANSFIELD

Business Name

AUDREY C MANSFIELD

Original Issue Date

07/28/2015

Effective Date

11/28/2021

Expiration Date

09/30/2024

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

02/04/2025