HEIDI K CARMACK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014381

License Status

ACTIVE

Business

First Name

HEIDI

Middle

Last Name

CARMACK

Business Name

HEIDI K CARMACK

Original Issue Date

07/19/2013

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/23/2024