Michigan
Department of Licensing and Regulation
CHONTAY DETRIA TAYLOR
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704208682
Date granted
04/25/2013
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Grosse Pointe Woods, MI 48236
michiganlicensing.org
ID 25861693
LAST UPDATED 2024-04-12 09:15:14 UTC
LAST UPDATED 2024-04-12 09:15:14 UTC
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