RENEE ADELE DIVER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001978

License Status

NOT RENEWED

Business

First Name

RENEE ADELE

Last Name

DIVER

Business Name

RENEE ADELE DIVER

Original Issue Date

07/11/1973

Effective Date

09/30/2021

Expiration Date

09/30/2024

City

GLASFORD

State

Zip

61533

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2025