DIANE LYNN QUAST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001179

License Status

NOT RENEWED

Business

First Name

DIANE LYNN

Last Name

QUAST

Business Name

DIANE LYNN QUAST

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005