License holder summary

DORETTA LORAINE THEISEN is a Dentist, Hygienist, Dental Assistant - Dental Hygienist licensed to practice in Michigan. The address on file for DORETTA LORAINE THEISEN is Manassas, VA 20112. This licensed professional license is not current. The license was granted 03/03/1993 and expired on 08/31/1999.

Michigan

Department of Licensing and Regulation

DORETTA LORAINE THEISEN
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902009834
Date granted
03/03/1993
Date expires
08/31/1999
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
Manassas, VA 20112
michiganlicensing.org
ID 25767507
LAST UPDATED 2024-05-11 09:02:46 UTC

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