ALICIA MARIE DIECKOW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012426

License Status

ACTIVE

Business

First Name

ALICIA

Middle

MARIE

Last Name

DIECKOW

Business Name

ALICIA MARIE DIECKOW

Original Issue Date

06/10/2008

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

08/07/2024