THOMAS JAY HEIDENREICH DDS - Dentist License in Illinois | # 136000219

THOMAS JAY HEIDENREICH DDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000219

License Status

EXPIRED

Business

N

Title

DDS

First Name

THOMAS

Middle

JAY

Last Name

HEIDENREICH

Business Name

THOMAS JAY HEIDENREICH DDS

Original Issue Date

08/10/2017

Effective Date

08/10/2017

Expiration Date

06/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020