License holder summary

MICHELLE TRINIDAD ICASIANO is a Dentist licensed to practice in Pennsylvania. The address on file for MICHELLE TRINIDAD ICASIANO is COLUMBIA MD 21044. This medical practitioner license is not current. The license was granted 11/10/1994 and expired on 03/31/2015.

Department of State

Board of Medicine

MICHELLE TRINIDAD ICASIANO
Dentist
License number
DS029194L
Date granted
11/10/1994
Date expires
03/31/2015
Class
Dentist
Status
Inactive
Address
COLUMBIA MD 21044
medicinepa.com
ID 37430925
LAST UPDATED 2024-02-07 06:44:43 UTC

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