MANDALYN RAEL RENICKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015357

License Status

NOT RENEWED

Business

First Name

MANDALYN

Middle

RAEL

Last Name

RENICKER

Business Name

MANDALYN RAEL RENICKER

Original Issue Date

01/26/2016

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022