DIANE KAY OSBORN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004013

License Status

NOT RENEWED

Business

First Name

DIANE KAY

Last Name

OSBORN

Business Name

DIANE KAY OSBORN

Original Issue Date

09/07/1979

Effective Date

10/05/2015

Expiration Date

09/30/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018