License Directory

Samantha Renee Gagnon

Active

Michigan license 4901005125

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4901005125
Status
Active
First issued
June 7, 2018
Expires
June 7, 2028
License holder
Samantha Renee Gagnon
Entity type
Individual

Classifications

More from the license record

Specialties
DPA,TPA

Contact

1000 Wall Street, RM 714
Kellogg Eye Center
Ann Arbor, MI 48105
Washtenaw County