DIANE E CLAY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007013

License Status

INACTIVE

Business

First Name

DIANE E

Last Name

CLAY

Business Name

DIANE E CLAY

Original Issue Date

08/05/1989

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CLINTON

State

Zip

61727

Ever Disciplined

LastModifiedDate

07/24/2006