TAMMY P FORD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008657

License Status

INACTIVE

Business

First Name

TAMMY P

Last Name

FORD

Business Name

TAMMY P FORD

Original Issue Date

02/01/1996

Effective Date

02/01/1996

Expiration Date

09/30/2002

City

BELLEVUE

State

Zip

52031

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005