TIFFANY ANN NAUTA - Dentist License in Wisconsin | # 020014233

TIFFANY ANN NAUTA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014233

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

ANN

Last Name

NAUTA

Business Name

TIFFANY ANN NAUTA

Original Issue Date

01/30/2013

Effective Date

01/30/2013

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

04/25/2016