License Type:
Dentist
License Number:
2901601308
Name:
Noelia Maria Fernandez
License Issue Date:
06/02/2022
License Expiration Date:
06/02/2028
License Status:
Active
County:
Wayne
City:
Garden City
State or Province:
Michigan
ZIP or Postal Code:
48135
CS Record Number:
5315235892
CS Status:
CS Expiration Date:
State:
ZIP Code:
DC Record Number:
5307012836
DC Status:
Lapsed
DC Expiration Date:
06/02/2025
5307015962