DIANE E CZYZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002303

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

CZYZ

Business Name

DIANE E CZYZ

Original Issue Date

07/03/1974

Effective Date

08/27/2015

Expiration Date

09/30/2018

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018