Michigan
Department of Licensing and Regulation
GINA BRIEANN LAKE
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903003271
Date granted
10/06/2014
Date expires
08/31/2015
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Active
Address
Traverse City, MI 49684
michiganlicensing.org
ID 25769863
LAST UPDATED 2024-02-26 07:04:14 UTC
LAST UPDATED 2024-02-26 07:04:14 UTC
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