Stacy R Northouse
ActiveMichigan license 2903002363
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2903002363
- Status
- Active
- First issued
- December 19, 2006
- Expires
- December 19, 2028
- License holder
- Stacy R Northouse
- Entity type
- Individual
Classifications
- Dental Assistant (Dentistry) Dental