Michigan
Department of Licensing and Regulation
ENA I NEPARTS
Dentist, Hygienist, Dental Assistant - Dentist
License number
2901007702
Date granted
06/17/1959
Date expires
08/31/1994
Class
Dentist, Hygienist, Dental Assistant - Dentist
Status
Lapsed
Address
Milford, MI 483813812
michiganlicensing.org
ID 25760837
LAST UPDATED 2024-03-21 10:42:18 UTC
LAST UPDATED 2024-03-21 10:42:18 UTC
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