Tiffany Nicole Bacon
Dental Hygienist
Indiana 13006319A Active
This Indiana license is held by Tiffany Nicole Bacon. The license is currently active. It was granted on 06/17/2008 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 13006319A
- Category: Dental Hygienist
- Status: Active
- Date Granted: 06/17/2008 (about 18 years ago)
- Expiry Date: 03/01/2016 (over 10 years ago)
LOCATIONS
A Address
Fort Wayne IN 46816-9430
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