Michigan
Department of Licensing and Regulation
ACKLYN M LA ROSA PRUSAKIEWICZ
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903000109
Date granted
08/22/1979
Date expires
08/31/1985
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
Gaylord, MI 49735
michiganlicensing.org
ID 25770461
LAST UPDATED 2026-05-23 23:22:10 UTC
LAST UPDATED 2026-05-23 23:22:10 UTC
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