License holder summary

GLENN JAMES JIVIDEN, JR is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is current. The license was granted 02/15/2002 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

GLENN JAMES JIVIDEN, JR
Dentistry - Dentist
License number
2901018315
Date granted
02/15/2002
Date expires
08/31/2017
Class
Dentistry - Dentist
Status
Active
Address
michiganmedical.net
ID 38899992
LAST UPDATED 2026-04-06 18:00:09 UTC

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