HEIDI JOY PETTY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017186

License Status

ACTIVE

Business

First Name

HEIDI

Middle

JOY

Last Name

PETTY

Business Name

HEIDI JOY PETTY

Original Issue Date

02/26/2021

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

ADAMS

Ever Disciplined

LastModifiedDate

09/26/2024