MACKENZIE VAIL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017584

License Status

ACTIVE

Business

First Name

MACKENZIE

Last Name

VAIL

Business Name

MACKENZIE VAIL

Original Issue Date

06/03/2022

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

08/28/2024