TIFFANY WALTHOUR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016460

License Status

ACTIVE

Business

First Name

TIFFANY

Last Name

WALTHOUR

Business Name

TIFFANY WALTHOUR

Original Issue Date

03/09/2019

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2024