TAMMY L KISTLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011280

License Status

ACTIVE

Business

First Name

TAMMY

Middle

Last Name

KISTLER

Business Name

TAMMY L KISTLER

Original Issue Date

05/12/2005

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

ST JOHN

State

Zip

46373

Ever Disciplined

LastModifiedDate

09/26/2024