HEIDI M GOEPP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

HEIDI M

Last Name

GOEPP

Business Name

HEIDI M GOEPP

Original Issue Date

08/31/1989

Effective Date

08/31/1989

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005