License holder summary

MARY MARTHA DE BAISIO is a Dentistry - Dental Hygienist licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Medicine

MARY MARTHA DE BAISIO
Dentistry - Dental Hygienist
License number
2902001400
Date expires
08/31/2012
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38882544
LAST UPDATED 2024-02-26 18:45:01 UTC

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