License holder summary

CASEY ANNE TENNISWOOD is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 05/03/2007 and expired on 08/31/2011.

Department of Licensing and Regulatory Affairs

Board of Medicine

CASEY ANNE TENNISWOOD
Dentistry - Dentist
License number
2901019567
Date granted
05/03/2007
Date expires
08/31/2011
Class
Dentistry - Dentist
Status
Lapsed
Address
michiganmedical.net
ID 38906346
LAST UPDATED 2024-04-06 08:01:27 UTC

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