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Ellese Serena Blackmon

Active

Michigan license 2902020174

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902020174
Status
Active
First issued
May 25, 2022
Expires
May 25, 2028
License holder
Ellese Serena Blackmon
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia,Nitrous Oxide

Contact

31643 Lynne Drive
Rockwood, MI 48173
Wayne County