License holder summary

WALLER TIARA EVONNE is a Dental - Certified Dental Assistant licensed to practice in New York. The address on file for WALLER TIARA EVONNE is N TONAWANDA NY. This licensed professional license is current. The license was granted 08/25/2014 and expired on 07/31/2017.

New York

Office of the Professions

WALLER TIARA EVONNE
Dental - Certified Dental Assistant
License number
001653
Date granted
08/25/2014
Date expires
07/31/2017
Class
Dental - Certified Dental Assistant
Status
Registered
Address
N TONAWANDA NY
nylicensing.org
ID 19471421
LAST UPDATED 2024-09-21 23:58:48 UTC

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