License holder summary

Diane Phyllis Wickham is a Dental - Dental Hygienist licensed to practice in Colorado. The address on file for Diane Phyllis Wickham is 8407 Thunder Ridge Way #104, Highlands Ranch, CO, 80126-0126. This licensed professional license is not current. The license was granted 09/29/1976 and expired on 02/28/2014.

Colorado

Division of Professions and Occupations

Diane Phyllis Wickham
Dental - Dental Hygienist
License number
200770
Date granted
09/29/1976
Date expires
02/28/2014
Class
Dental - Dental Hygienist
Status
Expired
Address
8407 Thunder Ridge Way #104, Highlands Ranch, CO, 80126-0126
coloradolicensing.org
ID 27264521
LAST UPDATED 2024-03-30 14:41:57 UTC

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