License holder summary

MICHELINE ROSE F TANJUTCO-PARK is a Dentistry - Dentist Clinical Academic Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 03/19/1997 and expired on 08/31/2004.

Department of Licensing and Regulatory Affairs

Board of Medicine

MICHELINE ROSE F TANJUTCO-PARK
Dentistry - Dentist Clinical Academic Limited
License number
2901017123
Date granted
03/19/1997
Date expires
08/31/2004
Class
Dentistry - Dentist Clinical Academic Limited
Status
Lapsed
Address
michiganmedical.net
ID 38908575
LAST UPDATED 2024-03-25 08:28:15 UTC

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