NATALIE DIPERT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001450

License Status

NOT RENEWED

Business

First Name

NATALIE

Last Name

DIPERT

Business Name

NATALIE DIPERT

Original Issue Date

07/08/1971

Effective Date

07/08/1971

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/12/2005