TIFFANY A REYNOLDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007943

License Status

NOT RENEWED

Business

First Name

TIFFANY A

Last Name

REYNOLDS

Business Name

TIFFANY A REYNOLDS

Original Issue Date

07/14/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/29/2007