TIA LANEZ JEFFERS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

Title

DDS

First Name

TIA

Middle

LANEZ

Last Name

JEFFERS

Business Name

TIA LANEZ JEFFERS DDS

Original Issue Date

06/26/2013

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

NILES

State

Zip

49120

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/30/2024