MARK ALLEN HEISS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

MARK

Middle

ALLEN

Last Name

HEISS

Suffix

DDS

Business Name

MARK ALLEN HEISS DDS

Original Issue Date

09/15/1982

Effective Date

05/22/2024

Expiration Date

09/30/2027

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2024