DIANE SUE NORMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000991

License Status

NOT RENEWED

Business

First Name

DIANE SUE

Last Name

NORMAN

Business Name

DIANE SUE NORMAN

Original Issue Date

12/07/1967

Effective Date

12/07/1967

City

PORTLAND

State

Zip

97205

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005