Michigan
Department of Licensing and Regulation
AMY MARIE WITHAM
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704201401
Date granted
03/22/2001
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Grand Blanc, MI 48439
michiganlicensing.org
ID 25862494
LAST UPDATED 2026-06-08 15:56:28 UTC
LAST UPDATED 2026-06-08 15:56:28 UTC
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