DIANE ROSE BERLOW - Dentist License in Michigan | # 020003441

DIANE ROSE BERLOW

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003441

License Status

NOT RENEWED

Business

N

First Name

DIANE ROSE

Last Name

BERLOW

Business Name

DIANE ROSE BERLOW

Original Issue Date

05/26/1978

Effective Date

05/26/1978

Expiration Date

09/30/2002

State

MI

Ever Disciplined

N

LastModifiedDate

10/17/2005