DIANE MANSFIELD SEVERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003660

License Status

ACTIVE

Business

First Name

DIANE MANSFIELD

Last Name

SEVERSON

Business Name

DIANE MANSFIELD SEVERSON

Original Issue Date

08/21/1978

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/02/2024