HEATHER A MALLORY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021241

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005