DIANE D BAGNOLI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021491

License Status

INACTIVE

Business

First Name

DIANE D

Last Name

BAGNOLI

Suffix

DDS

Business Name

DIANE D BAGNOLI DDS

Original Issue Date

02/03/1989

Effective Date

02/03/1989

Expiration Date

09/30/1990

City

LAFAYETTE

State

Zip

47904

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005