HEATHER DAWN PEPERAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011913

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DAWN

Last Name

PEPERAK

Business Name

HEATHER DAWN PEPERAK

Original Issue Date

10/25/2006

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

HILLSBORO

State

Zip

47949

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012