DIANE L ITZENTHALER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007005

License Status

ACTIVE

Business

First Name

DIANE L

Last Name

ITZENTHALER

Business Name

DIANE L ITZENTHALER

Original Issue Date

08/05/1989

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

08/23/2024