DAWN L HEISLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000400

License Status

NOT RENEWED

Business

First Name

DAWN L

Last Name

HEISLEY

Suffix

DDS

Business Name

DAWN L HEISLEY DDS

Original Issue Date

06/27/1996

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/14/2012