DIANE E KOSAR Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008450

License Status

INACTIVE

Business

First Name

DIANE E

Last Name

KOSAR

Business Name

DIANE E KOSAR

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

09/30/2004

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005