License holder summary

THOMAS PROVO PFOTENHAUER is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 10/27/1988 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

THOMAS PROVO PFOTENHAUER
Dentistry - Dentist
License number
2901015230
Date granted
10/27/1988
Date expires
08/31/2016
Class
Dentistry - Dentist
Status
Disciplinary Limited
Address
michiganmedical.net
ID 38903711
LAST UPDATED 2024-02-25 16:38:09 UTC

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