Michigan
Department of Licensing and Regulation
BRIAN DOUGLAS CLARK
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704219567
Date granted
06/29/2005
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Active
Address
Portage, MI 49002
michiganlicensing.org
ID 25851114
LAST UPDATED 2024-03-08 08:40:20 UTC
LAST UPDATED 2024-03-08 08:40:20 UTC
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