MARY E HETSKO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026047

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

HETSKO

Suffix

DDS

Business Name

MARY E HETSKO DDS

Original Issue Date

01/15/2003

Effective Date

01/15/2003

Expiration Date

09/30/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005