JOHN W HECKERT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

HECKERT

Suffix

DDS

Business Name

JOHN W HECKERT DDS

Original Issue Date

05/03/1995

Effective Date

05/03/1995

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005