KRISTEN M HEIKING Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011219

License Status

INACTIVE

Business

First Name

KRISTEN

Middle

Last Name

HEIKING

Business Name

KRISTEN M HEIKING

Original Issue Date

12/23/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/04/2009