DIANA LYNNE INGALLS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011642

License Status

INACTIVE

Business

First Name

DIANA

Middle

LYNNE

Last Name

INGALLS

Business Name

DIANA LYNNE INGALLS

Original Issue Date

05/17/2006

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2009