License holder summary

KELLY M EAVENSON is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 03/13/1986 and expired on 08/31/2010.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLY M EAVENSON
Dentistry - Dental Hygienist
License number
2902007726
Date granted
03/13/1986
Date expires
08/31/2010
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38883160
LAST UPDATED 2024-03-30 21:58:34 UTC

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