JESSICA JO HEINZELMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010808

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

HEINZELMANN

Business Name

JESSICA JO HEINZELMANN

Original Issue Date

10/03/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006