License holder summary

MARTIN O GUSTAFSON is a Dentist, Hygienist, Dental Assistant - Dentist licensed to practice in Michigan. The address on file for MARTIN O GUSTAFSON is Saint Charles, IL 60174. This licensed professional license is not current. The license was granted 06/14/1964 and expired on 08/31/2007.

Michigan

Department of Licensing and Regulation

MARTIN O GUSTAFSON
Dentist, Hygienist, Dental Assistant - Dentist
License number
2901008651
Date granted
06/14/1964
Date expires
08/31/2007
Class
Dentist, Hygienist, Dental Assistant - Dentist
Status
Lapsed
Address
Saint Charles, IL 60174
michiganlicensing.org
ID 25759597
LAST UPDATED 2024-03-09 06:00:12 UTC

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