License holder summary

Melisa Tirtaputra Susanto is a Health Care - Dentist License licensed to practice in Washington. This medical licensee license is current. The license was granted 07/14/2014 and expired on 07/25/2016.

Washington

Medical Commission

Melisa Tirtaputra Susanto
Health Care - Dentist License
License number
DE60481607
Date granted
07/14/2014
Date expires
07/25/2016
Class
Health Care - Dentist License
Status
Active
wamedicine.com
ID 40193852
LAST UPDATED 2026-06-09 19:35:21 UTC

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