HEATHER DAWN PEPERAK - Dentist License in Indiana | # 020011913

HEATHER DAWN PEPERAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011913

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

DAWN

Last Name

PEPERAK

Business Name

HEATHER DAWN PEPERAK

Original Issue Date

10/25/2006

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012