License holder summary

KRISTA NICOLE LAVALLA is a Dentistry - Dental Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 09/15/2015 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

KRISTA NICOLE LAVALLA
Dentistry - Dental Assistant
License number
2903003384
Date granted
09/15/2015
Date expires
08/31/2016
Class
Dentistry - Dental Assistant
Status
Active
Address
michiganmedical.net
ID 38878198
LAST UPDATED 2021-08-07 06:58:04 UTC

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