License holder summary

MICHELLE LYNN DERDERIAN is a Dental - Dental Hygienist With Local Anesthesia licensed to practice in Utah. The address on file for MICHELLE LYNN DERDERIAN is BOISE, ID 83705. This licensed professional license is not current. The license was granted 08/05/1994 and expired on 05/31/2012.

Utah

Division of Occupational and Professional Licensing

MICHELLE LYNN DERDERIAN
Dental - Dental Hygienist With Local Anesthesia
License number
275560-9920
Date granted
08/05/1994
Date expires
05/31/2012
Class
Dental - Dental Hygienist With Local Anesthesia
Status
Expired
Address
BOISE, ID 83705
utahlicensing.org
ID 29714028
LAST UPDATED 2024-05-09 15:14:45 UTC

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