KIIRI TAMM TIETJENS DDS - Dentist License in Illinois | # 021002193

KIIRI TAMM TIETJENS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002193

License Status

NOT RENEWED

Business

N

First Name

KIIRI

Middle

TAMM

Last Name

TIETJENS

Suffix

DDS

Business Name

KIIRI TAMM TIETJENS DDS

Original Issue Date

08/14/2006

Effective Date

10/25/2021

Expiration Date

09/30/2024

State

IL

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

N

LastModifiedDate

02/04/2025