License holder summary

MELISSA ANN SOUTHERLY is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is current. The license was granted 06/23/2011 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

MELISSA ANN SOUTHERLY
Dentistry - Dental Hygienist
License number
2902016249
Date granted
06/23/2011
Date expires
08/31/2018
Class
Dentistry - Dental Hygienist
Status
Active
Address
michiganmedical.net
ID 38891793
LAST UPDATED 2026-05-23 00:51:03 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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