Tiffany Elisa Andersen

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****61

Status

Expired (Not Renewed)

First issued

August 6, 2010

Expired

September 30, 2012

License holder

Tiffany Elisa Andersen

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

08/06/2010

Other Illinois licenses under this name

• IL
  Tiffany Elisa Andersen

  License 019028462

  Licensed Dentist (Dental)
  Expired

  Gilbert, AZ

  Expired Sep 30, 2012

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