License holder summary

KATHLEEN MARIE STACK is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 02/06/1995 and expired on 08/31/1995.

Department of Licensing and Regulatory Affairs

Board of Medicine

KATHLEEN MARIE STACK
Dentistry - Dental Hygienist
License number
2902010529
Date granted
02/06/1995
Date expires
08/31/1995
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38891904
LAST UPDATED 2024-02-17 21:33:29 UTC

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