HEIDI MARIE BUTTS-WIEGAND Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000280

License Status

ACTIVE

Business

First Name

HEIDI

Middle

MARIE

Last Name

BUTTS-WIEGAND

Business Name

HEIDI MARIE BUTTS-WIEGAND

Original Issue Date

10/28/2024

Effective Date

10/28/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63123

Ever Disciplined

LastModifiedDate

02/24/2025