THOMAS JAY HEIDENREICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002857

License Status

NOT RENEWED

Business

Title

DDS

First Name

THOMAS

Middle

JAY

Last Name

HEIDENREICH

Business Name

THOMAS JAY HEIDENREICH DDS

Original Issue Date

12/21/2017

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

05/09/2022