STEPHEN M HEANEY - Dentist License in Illinois | # 137000466

STEPHEN M HEANEY

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000466

License Status

INACTIVE

Business

N

First Name

STEPHEN M

Last Name

HEANEY

Business Name

STEPHEN M HEANEY

Original Issue Date

08/06/1999

Effective Date

08/19/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

08/19/2009