Department of Licensing and Regulatory Affairs
Board of Medicine
NICOLE CAROL SUSALLA
Dentistry - Dental Hygienist
License number
2902017673
Date granted
08/17/2015
Date expires
08/31/2016
Class
Dentistry - Dental Hygienist
Status
Active
Address
michiganmedical.net
ID 38892129
LAST UPDATED 2024-03-14 01:59:52 UTC
LAST UPDATED 2024-03-14 01:59:52 UTC
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