Michigan
Department of Licensing and Regulation
COLLEEN SUE FORMSMA
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902002649
Date granted
05/15/1972
Date expires
08/31/2015
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Active
Address
Williamston, MI 48895
michiganlicensing.org
ID 25765018
LAST UPDATED 2024-03-13 23:28:09 UTC
LAST UPDATED 2024-03-13 23:28:09 UTC
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