HEIDI JOELLE STARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001244

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

JOELLE

Last Name

STARK

Suffix

DDS

Business Name

HEIDI JOELLE STARK DDS

Original Issue Date

08/17/2000

Effective Date

08/17/2000

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018