License holder summary

JOANNA GARDIN ELLENBERG is a Dentist, Hygienist, Dental Assistant - Dental Hygienist licensed to practice in Michigan. The address on file for JOANNA GARDIN ELLENBERG is Oak Park, MI 48237. This licensed professional license is not current. The license was granted 01/27/1975 and expired on 08/31/2003.

Michigan

Department of Licensing and Regulation

JOANNA GARDIN ELLENBERG
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902003605
Date granted
01/27/1975
Date expires
08/31/2003
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
Oak Park, MI 48237
michiganlicensing.org
ID 25764783
LAST UPDATED 2024-04-25 18:39:12 UTC

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