License holder summary

SHADORIAN LANISE CLARK is a Dentist, Hygienist, Dental Assistant - Dental Assistant licensed to practice in Michigan. The address on file for SHADORIAN LANISE CLARK is Southfield, MI 48075. This licensed professional license is current. The license was granted 09/27/2007 and expired on 08/31/2017.

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

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