DIANA DALE BUCKNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000842

License Status

NOT RENEWED

Business

First Name

DIANA DALE

Last Name

BUCKNER

Business Name

DIANA DALE BUCKNER

Original Issue Date

07/18/1966

Effective Date

07/18/1966

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/12/2005