ALAN RAY HEAP DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016518

License Status

NOT RENEWED

Business

First Name

ALAN RAY

Last Name

HEAP

Suffix

DMD

Business Name

ALAN RAY HEAP DMD

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

09/30/1988

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/12/2005