License holder summary

ALISA BASARA PHOENIX is a Dentist, Hygienist, Dental Assistant - Dental Hygienist licensed to practice in Michigan. The address on file for ALISA BASARA PHOENIX is San Antonio, TX 782505600. This licensed professional license is not current. The license was granted 01/27/1986 and expired on 08/31/1992.

Michigan

Department of Licensing and Regulation

ALISA BASARA PHOENIX
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902007711
Date granted
01/27/1986
Date expires
08/31/1992
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
San Antonio, TX 782505600
michiganlicensing.org
ID 25766914
LAST UPDATED 2024-03-19 05:33:08 UTC

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