DIANE LYNN QUAST - Dentist License in Illinois | # 020001179

DIANE LYNN QUAST

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001179

License Status

NOT RENEWED

Business

N

First Name

DIANE LYNN

Last Name

QUAST

Business Name

DIANE LYNN QUAST

Original Issue Date

07/14/1969

Effective Date

07/14/1969

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005