MELANIE SUZANNE DIEBOLD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011522

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

SUZANNE

Last Name

DIEBOLD

Business Name

MELANIE SUZANNE DIEBOLD

Original Issue Date

09/16/2005

Effective Date

08/18/2015

Expiration Date

09/30/2018

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/31/2018