ROBERTA D HEIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007356

License Status

NOT RENEWED

Business

First Name

ROBERTA D

Last Name

HEIN

Business Name

ROBERTA D HEIN

Original Issue Date

02/26/1991

Effective Date

02/26/1991

Expiration Date

09/30/1992

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/12/2005