L DIANE KIRK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001740

License Status

NOT RENEWED

Business

First Name

L DIANE

Last Name

KIRK

Business Name

L DIANE KIRK

Original Issue Date

07/13/1972

Effective Date

07/13/1972

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005