Department of Licensing and Regulatory Affairs
Board of Medicine
DORETTA LORAINE THEISEN
Dentistry - Dental Hygienist
License number
2902009834
Date granted
03/03/1993
Date expires
08/31/1999
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38892391
LAST UPDATED 2024-02-19 06:44:54 UTC
LAST UPDATED 2024-02-19 06:44:54 UTC
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