DIANNE MARIE SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002996

License Status

NOT RENEWED

Business

First Name

DIANNE MARIE

Last Name

SMITH

Business Name

DIANNE MARIE SMITH

Original Issue Date

09/15/1976

Effective Date

09/15/1976

Expiration Date

09/30/2004

City

RACINE

State

Zip

53403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005