License holder summary

ANGELA WYNN MICKEVICH is a Dentistry - Dental Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 07/02/2004 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

ANGELA WYNN MICKEVICH
Dentistry - Dental Assistant
License number
2903002057
Date granted
07/02/2004
Date expires
08/31/2017
Class
Dentistry - Dental Assistant
Status
Active
Address
michiganmedical.net
ID 38878496
LAST UPDATED 2021-07-16 02:13:18 UTC

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