MACKENZIE FAY FONNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020018505

License Status

ACTIVE

Business

First Name

MACKENZIE

Middle

FAY

Last Name

FONNER

Business Name

MACKENZIE FAY FONNER

Original Issue Date

05/23/2025

Effective Date

05/23/2025

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/09/2025