Michigan
Department of Licensing and Regulation
DALTON ENRICO LATHAM
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704211443
Date granted
05/21/2014
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Berrien Springs, MI 49103
michiganlicensing.org
ID 25859729
LAST UPDATED 2024-04-07 22:10:59 UTC
LAST UPDATED 2024-04-07 22:10:59 UTC
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