TARA JANE MADAY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010206

License Status

INACTIVE

Business

First Name

TARA

Middle

JANE

Last Name

MADAY

Business Name

TARA JANE MADAY

Original Issue Date

11/14/2001

Effective Date

11/14/2001

Expiration Date

09/30/2004

City

FAIRMONT

State

Zip

56031

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005