RONALD A HEIDERMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

RONALD A

Last Name

HEIDERMAN

Business Name

RONALD A HEIDERMAN

Original Issue Date

09/10/1982

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024