License holder summary

Tina R Theroux is a Dentistry - Facility Permit (Permit D) licensed to practice in Massachusetts. The address on file for Tina R Theroux is United States, North Grafton 015361048. This licensed professional license is current. The license was granted 09/15/2004 and expired on 03/31/2018.

Massachusetts

Division of Professional Licensure

Tina R Theroux
Dentistry - Facility Permit (Permit D)
License number
DN2021950D
Date granted
09/15/2004
Date expires
03/31/2018
Class
Dentistry - Facility Permit (Permit D)
Status
Current
Address
United States
licensingma.org
ID 38617627
LAST UPDATED 2024-03-13 17:57:16 UTC

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