License Directory

Shelby Lynn Southard

Active

Michigan license 2903004764

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2903004764
Status
Active
First issued
September 19, 2022
Expires
September 19, 2028
License holder
Shelby Lynn Southard
Entity type
Individual

Classifications

  • Dental Assistant (Dentistry) Dental

Contact

312 W Delaware St
Decatur, MI 49045
Van Buren County