TIEG B SELBERG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002920

License Status

ACTIVE

Business

Title

DDS

First Name

TIEG

Middle

Last Name

SELBERG

Business Name

TIEG B SELBERG DDS

Original Issue Date

11/21/2018

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

Specialty/Qualifier

PEDIATRIC DENTIST

Ever Disciplined

LastModifiedDate

08/13/2024