License holder summary

LISA PETERSEN is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/08/1988 and expired on 08/31/1992.

Department of Licensing and Regulatory Affairs

Board of Medicine

LISA PETERSEN
Dentistry - Dental Hygienist
License number
2902008350
Date granted
06/08/1988
Date expires
08/31/1992
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38889496
LAST UPDATED 2024-03-01 12:48:29 UTC

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