HEIDI GALE KORN Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001339

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005