HEATHER LYNNE BRATBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002885

License Status

NOT RENEWED

Business

First Name

HEATHER LYNNE

Last Name

BRATBERG

Business Name

HEATHER LYNNE BRATBERG

Original Issue Date

07/13/1976

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/09/2022