License holder summary

STACEY JO WAKEMAN is a Dentist, Hygienist, Dental Assistant - Dental Hygienist licensed to practice in Michigan. The address on file for STACEY JO WAKEMAN is Addison, IL 60101. This licensed professional license is not current. The license was granted 03/03/1977 and expired on 08/31/1980.

Michigan

Department of Licensing and Regulation

STACEY JO WAKEMAN
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902004552
Date granted
03/03/1977
Date expires
08/31/1980
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
Addison, IL 60101
michiganlicensing.org
ID 25767910
LAST UPDATED 2024-05-11 22:37:23 UTC

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