TAMMY LYNN GIOSTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004045

License Status

NOT RENEWED

Business

First Name

TAMMY LYNN

Last Name

GIOSTA

Business Name

TAMMY LYNN GIOSTA

Original Issue Date

10/17/1979

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2025