PETRA VON HEIMBURG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

PETRA

Last Name

VON HEIMBURG

Suffix

DDS

Business Name

PETRA VON HEIMBURG DDS

Original Issue Date

07/01/1981

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009