LISA M HECKENKAMP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005846

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

HECKENKAMP

Business Name

LISA M HECKENKAMP

Original Issue Date

07/19/1985

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006