DIANE R MUELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008893

License Status

NOT RENEWED

Business

First Name

DIANE R

Last Name

MUELLER

Business Name

DIANE R MUELLER

Original Issue Date

12/03/1996

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018