License holder summary

E ANNE DE AGOSTINO VAN HAAREN is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 05/25/1978 and expired on 08/31/1983.

Department of Licensing and Regulatory Affairs

Board of Medicine

E ANNE DE AGOSTINO VAN HAAREN
Dentistry - Dental Hygienist
License number
2902004730
Date granted
05/25/1978
Date expires
08/31/1983
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38892871
LAST UPDATED 2024-02-28 16:17:13 UTC

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