License holder summary

ANNA S SIELCZAK MODINE is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 11/03/1995 and expired on 08/31/2011.

Department of Licensing and Regulatory Affairs

Board of Medicine

ANNA S SIELCZAK MODINE
Dentistry - Dental Hygienist
License number
2902010828
Date granted
11/03/1995
Date expires
08/31/2011
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38891363
LAST UPDATED 2024-03-29 01:07:40 UTC

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