HEINZ TKADLETZ Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002940

License Status

INACTIVE

Business

First Name

HEINZ

Last Name

TKADLETZ

Business Name

HEINZ TKADLETZ

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005