License holder summary

KELLI SUE MARTIN is a Dentistry - Dental Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 02/10/2009 and expired on 08/31/2012.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLI SUE MARTIN
Dentistry - Dental Assistant
License number
2903002613
Date granted
02/10/2009
Date expires
08/31/2012
Class
Dentistry - Dental Assistant
Status
Lapsed
Address
michiganmedical.net
ID 38878379
LAST UPDATED 2021-10-21 10:07:52 UTC

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