HELEN SUSAN HEIDELBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

HELEN SUSAN

Last Name

HEIDELBERG

Business Name

HELEN SUSAN HEIDELBERG

Original Issue Date

01/17/1985

Effective Date

01/17/1985

Expiration Date

09/30/1986

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005