Department of Licensing and Regulatory Affairs
Board of Medicine
SUSAN LEE THEISEN
Dentistry - Dental Hygienist
License number
2902004027
Date granted
05/20/1976
Date expires
08/31/2008
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38892397
LAST UPDATED 2024-02-05 23:29:37 UTC
LAST UPDATED 2024-02-05 23:29:37 UTC
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