License holder summary

KIP PATRICK ETHERIDGE is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is current. The license was granted 01/22/2001 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

KIP PATRICK ETHERIDGE
Dentistry - Dentist
License number
2901018064
Date granted
01/22/2001
Date expires
08/31/2016
Class
Dentistry - Dentist
Status
Active
Address
michiganmedical.net
ID 38897633
LAST UPDATED 2024-02-26 12:57:16 UTC

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