BETH R HEIFERMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

First Name

BETH R

Last Name

HEIFERMAN

Business Name

BETH R HEIFERMAN

Original Issue Date

08/18/1987

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024