DIANA LYNN KIESGEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005532

License Status

NOT RENEWED

Business

First Name

DIANA LYNN

Last Name

KIESGEN

Business Name

DIANA LYNN KIESGEN

Original Issue Date

06/13/1984

Effective Date

06/13/1984

Expiration Date

09/30/1988

City

PHOENIX

State

Zip

85033

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005