HEIDI GALE KORN - Dentist License in Illinois | # 018001339

HEIDI GALE KORN

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001339

License Status

EXPIRED

Business

N

First Name

HEIDI

Middle

GALE

Last Name

KORN

Business Name

HEIDI GALE KORN

Original Issue Date

06/05/2002

Effective Date

06/05/2002

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005