DIANE K CALLAHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006159

License Status

NOT RENEWED

Business

First Name

DIANE K

Last Name

CALLAHAN

Business Name

DIANE K CALLAHAN

Original Issue Date

07/28/1986

Effective Date

07/28/1986

Expiration Date

09/30/1998

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005