JEFFREY ALAN HIESTER DDS - Dentist License in Illinois | # 018001174

JEFFREY ALAN HIESTER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001174

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018