License holder summary

MARILYN ANN DE LA FUENTE is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 08/01/1986 and expired on 08/31/1996.

Department of Licensing and Regulatory Affairs

Board of Medicine

MARILYN ANN DE LA FUENTE
Dentistry - Dental Hygienist
License number
2902007973
Date granted
08/01/1986
Date expires
08/31/1996
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38882572
LAST UPDATED 2024-03-25 15:00:50 UTC

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