TODD A HEHLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

Title

DDS

First Name

TODD

Middle

Last Name

HEHLI

Business Name

TODD A HEHLI DDS

Original Issue Date

11/29/2010

Effective Date

11/29/2010

Expiration Date

09/30/2012

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012