DIANE M RANDOLPH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000801

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

RANDOLPH

Business Name

DIANE M RANDOLPH

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1984

City

SOLANA BEACH

State

Zip

92075

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005