Michigan
Department of Licensing and Regulation
ANDREA KAY BANTZ
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704289902
Date granted
02/16/2012
Date expires
02/16/2013
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Hartford, IL 62048
michiganlicensing.org
ID 25838094
LAST UPDATED 2024-05-08 08:39:15 UTC
LAST UPDATED 2024-05-08 08:39:15 UTC
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