License holder summary

JESSICA MARIE SOUTHWELL is a Dentistry - Dental Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 09/11/2008 and expired on 08/31/2015.

Department of Licensing and Regulatory Affairs

Board of Medicine

JESSICA MARIE SOUTHWELL
Dentistry - Dental Assistant
License number
2903002553
Date granted
09/11/2008
Date expires
08/31/2015
Class
Dentistry - Dental Assistant
Status
Lapsed
Address
michiganmedical.net
ID 38879289
LAST UPDATED 2024-01-09 09:36:03 UTC

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