Michigan
Department of Licensing and Regulation
TERRILEE FORTON
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903002770
Date granted
09/20/2010
Date expires
08/31/2011
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
lake ann, MI 49650
michiganlicensing.org
ID 25769187
LAST UPDATED 2024-04-04 16:18:36 UTC
LAST UPDATED 2024-04-04 16:18:36 UTC
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