DIANA STEVENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000616

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

STEVENS

Business Name

DIANA STEVENS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

City

WORTHINGTON

State

Zip

43085

County

OHIO

Ever Disciplined

LastModifiedDate

10/12/2005