License holder summary

GUSTAVO AVILA-ORTIZ is a Dentist, Hygienist, Dental Assistant - Dentist Clinical Academic Limited licensed to practice in Michigan. The address on file for GUSTAVO AVILA-ORTIZ is Ann Arbor, MI 48108. This licensed professional license is not current. The license was granted 08/10/2009 and expired on 08/31/2011.

Michigan

Department of Licensing and Regulation

GUSTAVO AVILA-ORTIZ
Dentist, Hygienist, Dental Assistant - Dentist Clinical Academic Limited
License number
2901020102
Date granted
08/10/2009
Date expires
08/31/2011
Class
Dentist, Hygienist, Dental Assistant - Dentist Clinical Academic Limited
Status
Lapsed
Address
Ann Arbor, MI 48108
michiganlicensing.org
ID 25762868
LAST UPDATED 2024-04-24 00:07:36 UTC

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