TIFFANIE ANN WOOD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010025

License Status

NOT RENEWED

Business

First Name

TIFFANIE

Middle

ANN

Last Name

WOOD

Business Name

TIFFANIE ANN WOOD

Original Issue Date

06/28/2001

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

11/14/2012