HEATHER M GILLAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011779

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

GILLAM

Business Name

HEATHER M GILLAM

Original Issue Date

07/05/2006

Effective Date

06/26/2013

Expiration Date

09/30/2015

City

LA FAYETTE

State

Zip

61449

County

STARK

Ever Disciplined

LastModifiedDate

04/25/2016