ARDIS DIEBEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008799

License Status

NOT RENEWED

Business

First Name

ARDIS

Last Name

DIEBEL

Business Name

ARDIS DIEBEL

Original Issue Date

08/01/1996

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

WASHBURN

State

Zip

61570

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/31/2018