HEATHER RENAE MCCULLUM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029260

License Status

NOT RENEWED

Business

Title

DMD

First Name

HEATHER

Middle

RENAE

Last Name

MCCULLUM

Business Name

HEATHER RENAE MCCULLUM DMD

Original Issue Date

09/28/2012

Effective Date

06/18/2015

Expiration Date

09/30/2018

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

10/31/2018