CORAL DIAZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008144

License Status

NOT RENEWED

Business

First Name

CORAL

Last Name

DIAZ

Business Name

CORAL DIAZ

Original Issue Date

11/02/1993

Effective Date

11/02/1993

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005