DIANE M KLEMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008161

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

KLEMANN

Business Name

DIANE M KLEMANN

Original Issue Date

01/03/1994

Effective Date

01/03/1994

Expiration Date

09/30/1996

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/12/2005