TIFFANY LEE FREESEMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010960

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

LEE

Last Name

FREESEMAN

Business Name

TIFFANY LEE FREESEMAN

Original Issue Date

06/21/2004

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

08/23/2024