Michigan
Department of Licensing and Regulation
THONGXAP PHANTHAVONG
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903002879
Date granted
08/22/2011
Date expires
08/31/2012
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
Holland, MI 49424
michiganlicensing.org
ID 25770399
LAST UPDATED 2024-02-14 10:19:16 UTC
LAST UPDATED 2024-02-14 10:19:16 UTC
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