HEIDI DANIEL KLUMB - Dentist License in Illinois | # 020007860

HEIDI DANIEL KLUMB

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007860

License Status

INACTIVE

Business

N

First Name

HEIDI DANIEL

Last Name

KLUMB

Business Name

HEIDI DANIEL KLUMB

Original Issue Date

10/17/1992

Effective Date

10/17/1992

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005