DIANE G YOUNGREN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004939

License Status

NOT RENEWED

Business

First Name

DIANE G

Last Name

YOUNGREN

Business Name

DIANE G YOUNGREN

Original Issue Date

07/22/1982

Effective Date

07/22/1982

Expiration Date

09/30/1996

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005