HEIDI MARIE MANDEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012774

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

MARIE

Last Name

MANDEL

Business Name

HEIDI MARIE MANDEL

Original Issue Date

03/17/2009

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012