TIFFANY NICOLE SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012628

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

SMITH

Business Name

TIFFANY NICOLE SMITH

Original Issue Date

07/25/2008

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

FREEBURG

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/29/2024