License holder summary

TISHA LIN CLARK is a Dentist, Hygienist, Dental Assistant - Dental Assistant licensed to practice in Michigan. The address on file for TISHA LIN CLARK is Beulah, MI 49617. This licensed professional license is not current. The license was granted 07/11/2007 and expired on 08/31/2011.

Michigan

Department of Licensing and Regulation

TISHA LIN CLARK
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903002410
Date granted
07/11/2007
Date expires
08/31/2011
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
Beulah, MI 49617
michiganlicensing.org
ID 25768756
LAST UPDATED 2024-04-20 02:17:24 UTC

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