JOSEPH J HEINZE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000479

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

HEINZE

Business Name

JOSEPH J HEINZE

Original Issue Date

07/18/1990

Effective Date

07/18/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/12/2005