License holder summary

NICHOLE MARIE BOURASAW is a Dentistry - Dental Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 11/23/2005 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

NICHOLE MARIE BOURASAW
Dentistry - Dental Assistant
License number
2903002237
Date granted
11/23/2005
Date expires
08/31/2018
Class
Dentistry - Dental Assistant
Status
Active
Address
michiganmedical.net
ID 38876743
LAST UPDATED 2021-07-04 17:04:39 UTC

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