TIFFANY LEA ZACHARY - Dentist License in Indiana | # 020015659

TIFFANY LEA ZACHARY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015659

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

LEA

Last Name

ZACHARY

Business Name

TIFFANY LEA ZACHARY

Original Issue Date

09/08/2016

Effective Date

08/02/2018

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

09/23/2025