DIANE E ULRICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

ULRICH

Suffix

DDS

Business Name

DIANE E ULRICH DDS

Original Issue Date

07/19/2001

Effective Date

09/24/2009

Expiration Date

09/30/2012

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012