LOIS DIEHL GRAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002534

License Status

NOT RENEWED

Business

First Name

LOIS DIEHL

Last Name

GRAY

Business Name

LOIS DIEHL GRAY

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1988

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005