DIANE B SHENTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001382

License Status

NOT RENEWED

Business

First Name

DIANE B

Last Name

SHENTON

Business Name

DIANE B SHENTON

Original Issue Date

08/18/1970

Effective Date

08/18/1970

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005