ANNE MATILDA MARCOTTE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

MATILDA

Last Name

MARCOTTE

Business Name

ANNE MATILDA MARCOTTE

Original Issue Date

01/27/2011

Effective Date

12/23/2021

Expiration Date

09/30/2024

City

TRAVERSE CITY

State

Zip

49685

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025