MARY ANN TIEDEMANN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004457

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

TIEDEMANN

Business Name

MARY ANN TIEDEMANN

Original Issue Date

06/15/1981

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

09/02/2009