License holder summary

LATONYA SHANTELL WALLER is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is current. The license was granted 06/27/2014 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

LATONYA SHANTELL WALLER
Dentistry - Dentist
License number
2901021345
Date granted
06/27/2014
Date expires
08/31/2018
Class
Dentistry - Dentist
Status
Active
Address
michiganmedical.net
ID 38907159
LAST UPDATED 2024-02-26 17:21:33 UTC

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