HEATHER BRIANNE VELAZQUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010416

License Status

NOT RENEWED

Business

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

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/31/2018