HEATHER BRIANNE VELAZQUEZ - Dentist License in Illinois | # 020010416

HEATHER BRIANNE VELAZQUEZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010416

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

BRIANNE

Last Name

VELAZQUEZ

Business Name

HEATHER BRIANNE VELAZQUEZ

Original Issue Date

07/29/2002

Effective Date

09/29/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018