Melanie Suzanne Diebold
ExpiredIllinois license 020011522
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020011522
- Status
- Expired (Not Renewed)
- First issued
- September 16, 2005
- Expired
- September 30, 2018
- License holder
- Melanie Suzanne Diebold
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/18/2015
Contact
Breese, IL 62230
Clinton County