RIKKI LYNN HETZLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011116

License Status

NOT RENEWED

Business

First Name

RIKKI

Middle

LYNN

Last Name

HETZLER

Business Name

RIKKI LYNN HETZLER

Original Issue Date

08/05/2004

Effective Date

09/10/2009

Expiration Date

09/30/2012

City

ILLINOIS CITY

State

Zip

61259

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/14/2012