BETTINA L VONDERHEIDE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005831

License Status

NOT RENEWED

Business

First Name

BETTINA L

Last Name

VONDERHEIDE

Business Name

BETTINA L VONDERHEIDE

Original Issue Date

07/19/1985

Effective Date

08/17/2012

Expiration Date

09/30/2015

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

04/25/2016