License Directory

Justin Matthew Pisano

Active

Michigan license 2901022858

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2901022858
Status
Active
First issued
December 20, 2018
Expires
December 20, 2028
License holder
Justin Matthew Pisano
Entity type
Individual

Classifications

More from the license record

Specialties
Oral and Maxillofacial Surgery

Contact

2417 SW 130th St
Oklahoma City, OK 73170
Kent County