DIANE L SHAW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004108

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

SHAW

Business Name

DIANE L SHAW

Original Issue Date

04/28/1980

Effective Date

04/28/1980

Expiration Date

09/30/1984

City

BARTLETT

State

Zip

38134

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/12/2005