DIANA L WHALEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010516

License Status

INACTIVE

Business

First Name

DIANA

Middle

Last Name

WHALEN

Business Name

DIANA L WHALEN

Original Issue Date

12/23/2002

Effective Date

06/12/2018

Expiration Date

12/31/2021

City

BRODHEAD

State

Zip

53520

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/17/2021