License holder summary

Melisa Tirtaputra Susanto is a Health Care - Dentist Moderate Sedation Permit licensed to practice in Washington. This licensed professional license is current. The license was granted 08/05/2014 and expired on 08/05/2017.

Washington

Department of Licensing

Melisa Tirtaputra Susanto
Health Care - Dentist Moderate Sedation Permit
License number
D360486913
Date granted
08/05/2014
Date expires
08/05/2017
Class
Health Care - Dentist Moderate Sedation Permit
Status
Active
walicensing.org
ID 39897398
LAST UPDATED 2026-04-30 15:08:45 UTC

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