License holder summary

JACK EDWARD VANDE VISSE, JR is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 05/20/1970 and expired on 08/31/2005.

Department of Licensing and Regulatory Affairs

Board of Medicine

JACK EDWARD VANDE VISSE, JR
Dentistry - Dentist
License number
2901009801
Date granted
05/20/1970
Date expires
08/31/2005
Class
Dentistry - Dentist
Status
Lapsed
Address
michiganmedical.net
ID 38906881
LAST UPDATED 2024-04-27 13:35:37 UTC

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