HEIDI SPROCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003732

License Status

NOT RENEWED

Business

First Name

HEIDI

Last Name

SPROCK

Business Name

HEIDI SPROCK

Original Issue Date

12/07/1978

Effective Date

08/05/2015

Expiration Date

09/30/2018

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/31/2018