HEATHER DAWN DOUGHTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011853

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DAWN

Last Name

DOUGHTY

Business Name

HEATHER DAWN DOUGHTY

Original Issue Date

08/11/2006

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016