TIA LANEZ JEFFERS DDS - Dentist License in Michigan | # 31*****04

TIA LANEZ JEFFERS DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

N

Title

DDS

First Name

TIA

Middle

LANEZ

Last Name

JEFFERS

Business Name

TIA LANEZ JEFFERS DDS

Original Issue Date

06/26/2013

Effective Date

08/30/2024

Expiration Date

09/30/2027

State

MI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

08/30/2024