SUSAN ELIZABETH MACIAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000554

License Status

NOT RENEWED

Business

First Name

SUSAN ELIZABETH

Last Name

MACIAS

Business Name

SUSAN ELIZABETH MACIAS

Original Issue Date

11/30/1961

Effective Date

11/30/1961

City

ANN ARBOR

State

Zip

48103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005