HEIDI GAIL WALBERG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011835

License Status

INACTIVE

Business

First Name

HEIDI

Middle

GAIL

Last Name

WALBERG

Business Name

HEIDI GAIL WALBERG

Original Issue Date

07/25/2006

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

TIPTON

State

Zip

49287

County

MICHIGAN

Ever Disciplined

LastModifiedDate

06/06/2012