License holder summary

Tiffany Noel Nightengale is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tiffany Noel Nightengale is Small Smiles of Fort Wayne, LLC, 7524 S.Anthony Blvd., Fort Wayne IN 46816. This licensed professional license is not current. The license was granted 08/01/2007 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Tiffany Noel Nightengale
Controlled Substance Registration - Dentist
License number
12011047B
Date granted
08/01/2007
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Small Smiles of Fort Wayne, LLC, 7524 S.Anthony Blvd., Fort Wayne IN 46816
indianalicensing.org
ID 5096217
LAST UPDATED 2024-02-29 14:52:27 UTC

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