HEIDI H MODAFF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007794

License Status

ACTIVE

Business

First Name

HEIDI H

Last Name

MODAFF

Business Name

HEIDI H MODAFF

Original Issue Date

08/05/1992

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

08/23/2024