HEATHER A RANDOLPH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014640

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

RANDOLPH

Business Name

HEATHER A RANDOLPH

Original Issue Date

04/07/2014

Effective Date

09/26/2021

Expiration Date

09/30/2024

City

GRANGER

State

Zip

46530

Ever Disciplined

LastModifiedDate

02/04/2025