Michigan
Department of Licensing and Regulation
SUSAN ANN BLACK
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902006444
Date granted
06/21/1982
Date expires
08/31/1992
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
Algonquin, IL 60102
michiganlicensing.org
ID 25764193
LAST UPDATED 2024-03-15 17:19:03 UTC
LAST UPDATED 2024-03-15 17:19:03 UTC
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