License holder summary

JACKIE PETROVICH GORDON is a Dentist, Hygienist, Dental Assistant - Dental Hygienist licensed to practice in Michigan. The address on file for JACKIE PETROVICH GORDON is Mountain Home, AR 72653. This licensed professional license is not current. The license was granted 06/18/1979 and expired on 08/31/2012.

Michigan

Department of Licensing and Regulation

JACKIE PETROVICH GORDON
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902005265
Date granted
06/18/1979
Date expires
08/31/2012
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
Mountain Home, AR 72653
michiganlicensing.org
ID 25765239
LAST UPDATED 2024-05-07 21:10:43 UTC

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