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Alisa Rennae Puvalowski

Active

Michigan license 2902018062

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902018062
Status
Active (Active - In Late Renewal)
First issued
October 12, 2016
Expired
October 12, 2026
License holder
Alisa Rennae Puvalowski
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

Contact

1771 Kenwood
Trenton, MI 48183
Wayne County