DIANE MARIE EBERT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004535

License Status

INACTIVE

Business

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

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/04/2009