DIANE E ULRICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000897

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

ULRICH

Suffix

DDS

Business Name

DIANE E ULRICH DDS

Original Issue Date

09/16/1995

Effective Date

09/16/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005