MACKENZIE SUE CLAWSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DMD

First Name

MACKENZIE

Middle

SUE

Last Name

CLAWSON

Business Name

MACKENZIE SUE CLAWSON DMD

Original Issue Date

07/30/2021

Effective Date

07/30/2021

Expiration Date

09/30/2024

City

SEATON

State

Zip

61476

County

MERCER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025