Department of Licensing and Regulatory Affairs
Board of Medicine
MARIO TABA, JR
Dentistry - Dentist Clinical Academic Limited
License number
2901019006
Date granted
09/13/2004
Date expires
08/31/2005
Class
Dentistry - Dentist Clinical Academic Limited
Status
Lapsed
Address
michiganmedical.net
ID 38908573
LAST UPDATED 2024-02-28 22:55:46 UTC
LAST UPDATED 2024-02-28 22:55:46 UTC
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