MACKENZIE LANE BRINDLEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

Title

DMD

First Name

MACKENZIE

Middle

LANE

Last Name

BRINDLEY

Business Name

MACKENZIE LANE BRINDLEY DMD

Original Issue Date

09/12/2023

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024