License holder summary

DIANE COOLICH BACON is a Dentist, Hygienist, Dental Assistant - Dental Hygienist licensed to practice in Michigan. The address on file for DIANE COOLICH BACON is St Louis, MO 63104.

Michigan

Department of Licensing and Regulation

DIANE COOLICH BACON
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902002168
Date expires
08/31/1984
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
St Louis, MO 63104
michiganlicensing.org
ID 25764102
LAST UPDATED 2024-02-26 13:27:30 UTC

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