Michigan
Department of Licensing and Regulation
LYDIA CORNELL BOURKE
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704215985
Date granted
06/26/2003
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Grosse Pointe, MI 48230
michiganlicensing.org
ID 25857073
LAST UPDATED 2024-03-25 12:11:38 UTC
LAST UPDATED 2024-03-25 12:11:38 UTC
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