License holder summary

STACEY LEE BISENIUS is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 08/02/2000 and expired on 08/31/2007.

Department of Licensing and Regulatory Affairs

Board of Medicine

STACEY LEE BISENIUS
Dentistry - Dental Hygienist
License number
2902012533
Date granted
08/02/2000
Date expires
08/31/2007
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38880816
LAST UPDATED 2024-02-29 12:21:55 UTC

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