EDWIN J NIEUSMA DDS - Dentist License in Michigan | # 019009805

EDWIN J NIEUSMA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009805

License Status

NOT RENEWED

Business

N

First Name

EDWIN J

Last Name

NIEUSMA

Suffix

DDS

Business Name

EDWIN J NIEUSMA DDS

Original Issue Date

11/01/1950

Effective Date

11/01/1950

State

MI

Ever Disciplined

N

LastModifiedDate

10/12/2005