TIFFANY BALLARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013693

License Status

NOT RENEWED

Business

First Name

TIFFANY

Last Name

BALLARD

Business Name

TIFFANY BALLARD

Original Issue Date

07/18/2011

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/09/2022