DIANE MARIE EBERT - Dentist License in Illinois | # 020004535

DIANE MARIE EBERT

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004535

License Status

INACTIVE

Business

N

First Name

DIANE MARIE

Last Name

EBERT

Business Name

DIANE MARIE EBERT

Original Issue Date

06/30/1981

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2009