ASHLIE DAWN HEITZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011045

License Status

ACTIVE

Business

First Name

ASHLIE

Middle

DAWN

Last Name

HEITZ

Business Name

ASHLIE DAWN HEITZ

Original Issue Date

06/30/2004

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

VERMONT

State

Zip

61484

County

FULTON

Ever Disciplined

LastModifiedDate

10/16/2024