SARAH JANE HEUERTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

SARAH JANE

Last Name

HEUERTZ

Business Name

SARAH JANE HEUERTZ

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005