DIANE LYNNE VAN DYKE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004670

License Status

ACTIVE

Business

First Name

DIANE LYNNE

Last Name

VAN DYKE

Business Name

DIANE LYNNE VAN DYKE

Original Issue Date

07/30/1981

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

MANITO

State

Zip

61546

Ever Disciplined

LastModifiedDate

09/17/2024