Michigan
Department of Licensing and Regulation
JENNIFER MARIE SOUTHARD
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902009192
Date granted
10/09/1990
Date expires
08/31/1997
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
Onsted, MI 49265
michiganlicensing.org
ID 25767384
LAST UPDATED 2026-04-23 00:39:20 UTC
LAST UPDATED 2026-04-23 00:39:20 UTC
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