MARILYN ANITA WINNINGHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

MARILYN ANITA

Last Name

WINNINGHAM

Business Name

MARILYN ANITA WINNINGHAM

Original Issue Date

11/16/1984

Effective Date

11/16/1984

Expiration Date

09/30/1990

City

CLINTON TOWNSHIP

State

Zip

48044

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005