TED J HEINZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

TED J

Last Name

HEINZ

Suffix

DDS

Business Name

TED J HEINZ DDS

Original Issue Date

08/09/1983

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

MORTON GROVE

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024