License holder summary

STACY LEE VANDERKLOK is a Dentist, Hygienist, Dental Assistant - Dental Assistant licensed to practice in Michigan. The address on file for STACY LEE VANDERKLOK is Grand Rapids, MI 49504. This licensed professional license is not current. The license was granted 07/10/1995 and expired on 08/31/1996.

Michigan

Department of Licensing and Regulation

STACY LEE VANDERKLOK
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903001531
Date granted
07/10/1995
Date expires
08/31/1996
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
Grand Rapids, MI 49504
michiganlicensing.org
ID 25770997
LAST UPDATED 2024-04-06 16:19:40 UTC

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