Daniel Susanto
ActiveMichigan license 4301501628
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301501628
- Status
- Active
- First issued
- September 24, 2020
- Expires
- September 24, 2029
- License holder
- Daniel Susanto
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons