License Directory

Jackie Lynn Frederick

Active

Michigan license 2902019596

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902019596
Status
Active
First issued
June 18, 2020
Expires
June 18, 2029
License holder
Jackie Lynn Frederick
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia,Nitrous Oxide

Contact

520
Finley Ave
Big Rapids, MI 49307
Mecosta County