DIANE SUE MASSEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004669

License Status

NOT RENEWED

Business

First Name

DIANE SUE

Last Name

MASSEY

Business Name

DIANE SUE MASSEY

Original Issue Date

07/30/1981

Effective Date

07/30/1981

Expiration Date

09/30/1986

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005