DIANE E LAND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000502

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

LAND

Suffix

DDS

Business Name

DIANE E LAND DDS

Original Issue Date

08/24/1990

Effective Date

08/24/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005