MACKENZIE ANN SIMMONS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015024

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

ANN

Last Name

SIMMONS

Business Name

MACKENZIE ANN SIMMONS

Original Issue Date

03/23/2015

Effective Date

03/23/2015

Expiration Date

09/30/2015

City

SULLIVAN

State

Zip

47882

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016