HEIDI DANIEL KLUMB Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007860

License Status

INACTIVE

Business

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

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005