DIANE E LAND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022403

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

LAND

Suffix

DDS

Business Name

DIANE E LAND DDS

Original Issue Date

03/16/1991

Effective Date

03/16/1991

Expiration Date

09/30/1994

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005