TIFFANY Y SRECA DDM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032661

License Status

NOT RENEWED

Business

Title

DDM

First Name

TIFFANY

Middle

Last Name

SRECA

Business Name

TIFFANY Y SRECA DDM

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

01/31/2022

City

MADISON

State

Zip

53718

Ever Disciplined

LastModifiedDate

05/09/2022