MORIAH K SEVERANCE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015696

License Status

NOT RENEWED

Business

First Name

MORIAH

Middle

Last Name

SEVERANCE

Business Name

MORIAH K SEVERANCE

Original Issue Date

01/10/2017

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

JACKSON

State

Zip

49201

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/09/2022