Michigan
Department of Licensing and Regulation
DEREK SCOTT POULSON
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704303666
Date granted
01/30/2014
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Active
Address
Goshen, IN 46528
michiganlicensing.org
ID 25854142
LAST UPDATED 2026-03-19 21:29:15 UTC
LAST UPDATED 2026-03-19 21:29:15 UTC
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