Department of Health
Board of Medical Examiners
PONIKVAR , STACEY RENEA
Department Of Health - Dental Hygienist
License number
7914
Date granted
06/04/2013
Date expires
06/30/2018
Class
Department Of Health - Dental Hygienist
Status
Licensed
Address
medicaltn.com
ID 41982700
LAST UPDATED 2026-05-25 04:24:05 UTC
LAST UPDATED 2026-05-25 04:24:05 UTC
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