DIANA HANSEN STEPHENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004142

License Status

NOT RENEWED

Business

First Name

DIANA HANSEN

Last Name

STEPHENS

Business Name

DIANA HANSEN STEPHENS

Original Issue Date

07/01/1980

Effective Date

07/01/1980

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005