MACY LEE DASENBROCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016117

License Status

ACTIVE

Business

First Name

MACY

Middle

LEE

Last Name

DASENBROCK

Business Name

MACY LEE DASENBROCK

Original Issue Date

05/24/2018

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/26/2024