KYLE W HEINE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

KYLE W

Last Name

HEINE

Suffix

DMD

Business Name

KYLE W HEINE DMD

Original Issue Date

11/12/1996

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2024