License holder summary

MARY ELLEN COSTANZO is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 08/11/1981 and expired on 08/31/1985.

Department of Licensing and Regulatory Affairs

Board of Medicine

MARY ELLEN COSTANZO
Dentistry - Dentist
License number
2901012973
Date granted
08/11/1981
Date expires
08/31/1985
Class
Dentistry - Dentist
Status
Lapsed
Address
michiganmedical.net
ID 38896471
LAST UPDATED 2024-04-19 18:01:58 UTC

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