License holder summary

TAYLOR RAE ANTILLA is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is current. The license was granted 06/26/2012 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

TAYLOR RAE ANTILLA
Dentistry - Dental Hygienist
License number
2902016590
Date granted
06/26/2012
Date expires
08/31/2016
Class
Dentistry - Dental Hygienist
Status
Active
Address
michiganmedical.net
ID 38880265
LAST UPDATED 2024-03-23 13:24:10 UTC

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