DIANNE ARLINE SAMUEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010175

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

ARLINE

Last Name

SAMUEL

Business Name

DIANNE ARLINE SAMUEL

Original Issue Date

09/18/2001

Effective Date

09/18/2001

Expiration Date

09/30/2002

City

ORMOND BEACH

State

Zip

32174

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005