TIFFANY J KOSYDOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012735

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

KOSYDOR

Business Name

TIFFANY J KOSYDOR

Original Issue Date

01/08/2009

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/13/2024