DIANE ROSE BERLOW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003441

License Status

NOT RENEWED

Business

First Name

DIANE ROSE

Last Name

BERLOW

Business Name

DIANE ROSE BERLOW

Original Issue Date

05/26/1978

Effective Date

05/26/1978

Expiration Date

09/30/2002

City

FARMINGTON HILLS

State

Zip

33067

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005