DIANA LEA MITSCH - Dentist License in Illinois | # 020003466

DIANA LEA MITSCH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003466

License Status

NOT RENEWED

Business

N

First Name

DIANA LEA

Last Name

MITSCH

Business Name

DIANA LEA MITSCH

Original Issue Date

06/08/1978

Effective Date

06/08/1978

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005