License Directory

Shannon Marie Kozub

Active

Michigan license 2902012649

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902012649
Status
Active
First issued
March 20, 2001
Expires
March 20, 2029
License holder
Shannon Marie Kozub
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

Contact

1610 Hawthorne Rd.
Grosse Pointe Woods, MI 48236
Wayne County