KIIRI TAMM TIETJENS DDS - Dentist License in Illinois | # 137000677

KIIRI TAMM TIETJENS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000677

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

06/28/2006

Effective Date

09/11/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025