THOMAS JAY HEIDENREICH DDS - Dentist License in Illinois | # 137000999

THOMAS JAY HEIDENREICH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000999

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

THOMAS

Middle

JAY

Last Name

HEIDENREICH

Business Name

THOMAS JAY HEIDENREICH DDS

Original Issue Date

01/22/2018

Effective Date

06/15/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

05/09/2022