DIANA ALISON JELEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019749

License Status

INACTIVE

Business

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

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005