License holder summary

TRACY LYNN DE PERALTA is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is current. The license was granted 08/29/2012 and expired on 08/31/2019.

Department of Licensing and Regulatory Affairs

Board of Medicine

TRACY LYNN DE PERALTA
Dentistry - Dentist
License number
2901020813
Date granted
08/29/2012
Date expires
08/31/2019
Class
Dentistry - Dentist
Status
Active
Address
michiganmedical.net
ID 38896831
LAST UPDATED 2024-03-21 14:08:08 UTC

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