HEATHER A MALLORY - Dentist License in Illinois | # 019021241

HEATHER A MALLORY

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021241

License Status

NOT RENEWED

Business

N

First Name

HEATHER A

Last Name

MALLORY

Business Name

HEATHER A MALLORY

Original Issue Date

08/10/1988

Effective Date

08/10/1988

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005