License holder summary

DIANE THERESA WALCZAK is a Dentistry - Dental Hygienist licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Medicine

DIANE THERESA WALCZAK
Dentistry - Dental Hygienist
License number
2902003007
Date expires
08/31/1996
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38893192
LAST UPDATED 2024-02-14 00:29:51 UTC

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