TIFFANY ANN MENDRYGA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016764

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANN

Last Name

MENDRYGA

Business Name

TIFFANY ANN MENDRYGA

Original Issue Date

09/28/2019

Effective Date

09/28/2019

Expiration Date

01/31/2022

City

LINCOLN PARK

State

Zip

48146

Ever Disciplined

LastModifiedDate

05/09/2022