TIFFANY LEA ZACHARY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015659

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

LEA

Last Name

ZACHARY

Business Name

TIFFANY LEA ZACHARY

Original Issue Date

09/08/2016

Effective Date

08/02/2018

Expiration Date

01/31/2022

City

KOUTS

State

Zip

46347

County

INDIANA

Ever Disciplined

LastModifiedDate

09/23/2025