License holder summary

MARCIO ANTONIO DA FONSECA is a Dentistry - Dentist Clinical Academic Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 09/01/1997 and expired on 08/31/2005.

Department of Licensing and Regulatory Affairs

Board of Medicine

MARCIO ANTONIO DA FONSECA
Dentistry - Dentist Clinical Academic Limited
License number
2901017258
Date granted
09/01/1997
Date expires
08/31/2005
Class
Dentistry - Dentist Clinical Academic Limited
Status
Lapsed
Address
michiganmedical.net
ID 38908235
LAST UPDATED 2024-03-15 13:38:01 UTC

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