JOHN CHARLES MACKENBACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

JOHN CHARLES

Last Name

MACKENBACH

Suffix

DDS

Business Name

JOHN CHARLES MACKENBACH DDS

Original Issue Date

01/01/1998

Effective Date

08/15/2007

Expiration Date

09/30/2009

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009