Department of Licensing and Regulatory Affairs
Board of Medicine
THONGXAP PHANTHAVONG
Dentistry - Dental Assistant
License number
2903002879
Date granted
08/22/2011
Date expires
08/31/2012
Class
Dentistry - Dental Assistant
Status
Lapsed
Address
michiganmedical.net
ID 38878788
LAST UPDATED 2024-03-20 22:58:16 UTC
LAST UPDATED 2024-03-20 22:58:16 UTC
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