Michigan
Department of Licensing and Regulation
TRACIE LEE GUSTAFSON
Dentist, Hygienist, Dental Assistant - Dental Assistant
License number
2903001099
Date granted
07/28/1987
Date expires
08/31/1994
Class
Dentist, Hygienist, Dental Assistant - Dental Assistant
Status
Lapsed
Address
Appleton, WI 54915
michiganlicensing.org
ID 25769377
LAST UPDATED 2024-03-17 09:57:14 UTC
LAST UPDATED 2024-03-17 09:57:14 UTC
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