JAMES PATRICK HEYNEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

PATRICK

Last Name

HEYNEN

Suffix

DDS

Business Name

JAMES PATRICK HEYNEN DDS

Original Issue Date

10/21/1986

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022