Michigan
Department of Licensing and Regulation
SHADORIAN LANISE CLARK
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903002456
Date granted
09/27/2007
Date expires
08/31/2017
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Active
Address
Southfield, MI 48075
michiganlicensing.org
ID 25768753
LAST UPDATED 2024-03-17 22:11:29 UTC
LAST UPDATED 2024-03-17 22:11:29 UTC
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