DIANE L WALTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003968

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

WALTON

Business Name

DIANE L WALTON

Original Issue Date

08/14/1979

Effective Date

08/14/1979

Expiration Date

04/01/1982

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005