KEVIN MICHAEL LANE - Dentist License in Michigan | # 019027978

KEVIN MICHAEL LANE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027978

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

MICHAEL

Last Name

LANE

Business Name

KEVIN MICHAEL LANE

Original Issue Date

06/05/2009

Effective Date

06/05/2009

Expiration Date

09/30/2012

State

MI

Ever Disciplined

N

LastModifiedDate

11/14/2012