License holder summary

KELLI JAE LARSEN is a Dentistry - Dental Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 09/11/2008 and expired on 08/31/2015.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLI JAE LARSEN
Dentistry - Dental Assistant
License number
2903002554
Date granted
09/11/2008
Date expires
08/31/2015
Class
Dentistry - Dental Assistant
Status
Lapsed
Address
michiganmedical.net
ID 38878189
LAST UPDATED 2024-02-20 23:55:15 UTC

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