JACKIE PETROVICH GORDON
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Michigan 2902005265 Lapsed
This Michigan license was held by JACKIE PETROVICH GORDON. The license is no longer active. It was granted on 06/18/1979 and expired on 08/31/2012
LICENSE DETAILS
- License Number: 2902005265
- Category: Dental Hygienist
- Status: Lapsed
- Date Granted: 06/18/1979 (almost 47 years ago)
- Expiry Date: 08/31/2012 (almost 14 years ago)
LOCATIONS
A Address
Mountain Home, AR 72653