DIANE C BALSAMO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012256

License Status

INACTIVE

Business

First Name

DIANE C

Last Name

BALSAMO

Business Name

DIANE C BALSAMO

Original Issue Date

08/09/2007

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

TAMPA

State

Zip

33647

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/01/2024