ROBERT WINFIELD HEATH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

ROBERT WINFIELD

Last Name

HEATH

Business Name

ROBERT WINFIELD HEATH

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005