DIANA JENNY WHITTAKER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032549

License Status

ACTIVE

Business

Title

DDS

First Name

DIANA

Middle

JENNY

Last Name

WHITTAKER

Business Name

DIANA JENNY WHITTAKER DDS

Original Issue Date

05/07/2020

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

GROSSE POINTE SHORES

State

Zip

48236

Ever Disciplined

LastModifiedDate

05/06/2024