DIAN RAE WALTERS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001585

License Status

INACTIVE

Business

First Name

DIAN RAE

Last Name

WALTERS

Business Name

DIAN RAE WALTERS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1996

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/12/2005