JEFFREY ALAN HIESTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001174

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALAN

Last Name

HIESTER

Suffix

DDS

Business Name

JEFFREY ALAN HIESTER DDS

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018