TIFFANY BALLARD - Dentist License in Indiana | # 020013693

TIFFANY BALLARD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013693

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Last Name

BALLARD

Business Name

TIFFANY BALLARD

Original Issue Date

07/18/2011

Effective Date

09/13/2018

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/09/2022