License holder summary

JACK EDWARD VANDE VISSE, JR is a Dentist, Hygienist, Dental Assistant - Dentist licensed to practice in Michigan. The address on file for JACK EDWARD VANDE VISSE, JR is Addison, PA 15411. This licensed professional license is not current. The license was granted 05/20/1970 and expired on 08/31/2005.

Michigan

Department of Licensing and Regulation

JACK EDWARD VANDE VISSE, JR
Dentist, Hygienist, Dental Assistant - Dentist
License number
2901009801
Date granted
05/20/1970
Date expires
08/31/2005
Class
Dentist, Hygienist, Dental Assistant - Dentist
Status
Lapsed
Address
Addison, PA 15411
michiganlicensing.org
ID 25762189
LAST UPDATED 2024-03-15 09:21:53 UTC

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