DIANNE N AMBROSE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007084

License Status

INACTIVE

Business

First Name

DIANNE N

Last Name

AMBROSE

Business Name

DIANNE N AMBROSE

Original Issue Date

09/30/1989

Effective Date

09/30/1989

Expiration Date

09/30/1994

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005