TIFFANY ANN NAUTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014233

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

ANN

Last Name

NAUTA

Business Name

TIFFANY ANN NAUTA

Original Issue Date

01/30/2013

Effective Date

01/30/2013

Expiration Date

09/30/2015

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/25/2016