HEATHER ANN SHAFER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009343

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANN

Last Name

SHAFER

Business Name

HEATHER ANN SHAFER

Original Issue Date

09/09/1998

Effective Date

11/10/2021

Expiration Date

09/30/2024

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

02/04/2025