MINDY MONIQUE DIEHM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015046

License Status

ACTIVE

Business

First Name

MINDY

Middle

MONIQUE

Last Name

DIEHM

Business Name

MINDY MONIQUE DIEHM

Original Issue Date

06/22/2015

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/07/2024