JOSEPH J HEINZE - Dentist License in Illinois | # 018000479

JOSEPH J HEINZE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000479

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

J

Last Name

HEINZE

Business Name

JOSEPH J HEINZE

Original Issue Date

07/18/1990

Effective Date

07/18/1990

Expiration Date

06/30/1991

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

10/12/2005