KRISTIN JOHANNAH MAU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

JOHANNAH

Last Name

MAU

Business Name

KRISTIN JOHANNAH MAU

Original Issue Date

04/13/2015

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

BRIGHTON

State

Zip

48114

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025