Bethany Ellen Diewald
ActiveIllinois license 020010225
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010225
- Status
- Active
- First issued
- February 1, 2002
- Expires
- September 30, 2027
- License holder
- Bethany Ellen Diewald
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/12/2024
Contact
Red Bud, IL 62278
Randolph County