License holder summary

KELLY LYNN DOMENICUCCI is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is current. The license was granted 06/16/1999 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLY LYNN DOMENICUCCI
Dentistry - Dental Hygienist
License number
2902012043
Date granted
06/16/1999
Date expires
08/31/2018
Class
Dentistry - Dental Hygienist
Status
Active
Address
michiganmedical.net
ID 38882861
LAST UPDATED 2024-02-03 22:29:17 UTC

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