DIANA DALE BUCKNER - Dentist License in Illinois | # 020000842

DIANA DALE BUCKNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000842

License Status

NOT RENEWED

Business

N

First Name

DIANA DALE

Last Name

BUCKNER

Business Name

DIANA DALE BUCKNER

Original Issue Date

07/18/1966

Effective Date

07/18/1966

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005