TIFFANY THERESA IRENE FRAZER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011892

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

THERESA IRENE

Last Name

FRAZER

Business Name

TIFFANY THERESA IRENE FRAZER

Original Issue Date

09/29/2006

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018