HEATHER L LANE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009009

License Status

NOT RENEWED

Business

First Name

HEATHER L

Last Name

LANE

Business Name

HEATHER L LANE

Original Issue Date

07/17/1997

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

07/20/2007