License holder summary

Tiffany Nicole Bacon is a Dental Hygienist licensed to practice in Indiana. The address on file for Tiffany Nicole Bacon is Fort Wayne IN 46816-9430. This licensed professional license is current. The license was granted 06/17/2008 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Tiffany Nicole Bacon
Dental Hygienist
License number
13006319A
Date granted
06/17/2008
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46816-9430
indianalicensing.org
ID 5206247
LAST UPDATED 2024-03-24 12:50:01 UTC

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