Diane Marie Jack
ActiveMichigan license 2902010384
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2902010384
- Status
- Active
- First issued
- July 13, 1994
- Expires
- July 13, 2029
- License holder
- Diane Marie Jack
- Entity type
- Individual
Classifications
- Dental Hygienist (Dentistry) Dental