CATHERINE ANN DIETZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004154

License Status

NOT RENEWED

Business

First Name

CATHERINE ANN

Last Name

DIETZ

Business Name

CATHERINE ANN DIETZ

Original Issue Date

07/15/1980

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

FARMER CITY

State

Zip

61842

Ever Disciplined

LastModifiedDate

05/09/2022