TARA LYN WORSHAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011978

License Status

ACTIVE

Business

First Name

TARA

Middle

LYN

Last Name

WORSHAM

Business Name

TARA LYN WORSHAM

Original Issue Date

03/12/2007

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/10/2024