License Directory
Sign in

Tina Marie Brockman

Active

Michigan license 2902012097

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902012097
Status
Active
First issued
June 30, 1999
Expires
June 30, 2028
License holder
Tina Marie Brockman
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia,Nitrous Oxide

Contact

1100 Fonger St NE
Sparta, MI 49345-8322
Kent County