License holder summary

FAE L DIEPSTRA is a Dentist, Hygienist, Dental Assistant - Dental Assistant licensed to practice in Michigan. The address on file for FAE L DIEPSTRA is Grand Rapids, MI 49507. This licensed professional license is not current. The license was granted 09/12/2000 and expired on 08/31/2013.

Michigan

Department of Licensing and Regulation

FAE L DIEPSTRA
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903001782
Date granted
09/12/2000
Date expires
08/31/2013
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
Grand Rapids, MI 49507
michiganlicensing.org
ID 25768970
LAST UPDATED 2024-03-02 18:59:54 UTC

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