DIANA ALISON JELEN - Dentist License in Illinois | # 019019749

DIANA ALISON JELEN

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019749

License Status

INACTIVE

Business

N

First Name

DIANA ALISON

Last Name

JELEN

Business Name

DIANA ALISON JELEN

Original Issue Date

08/08/1985

Effective Date

08/08/1985

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005