License holder summary

LARA F GHANNAM is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is current. The license was granted 09/25/2001 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

LARA F GHANNAM
Dentistry - Dental Hygienist
License number
2902012945
Date granted
09/25/2001
Date expires
08/31/2017
Class
Dentistry - Dental Hygienist
Status
Active
Address
michiganmedical.net
ID 38884262
LAST UPDATED 2024-02-20 06:04:04 UTC

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