Michigan
Department of Licensing and Regulation
NGA CAM NGO
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902011339
Date granted
06/17/1997
Date expires
08/31/2016
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Active
Address
Lansing, MI 48917
michiganlicensing.org
ID 25766510
LAST UPDATED 2024-05-01 09:05:15 UTC
LAST UPDATED 2024-05-01 09:05:15 UTC
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