License holder summary

INTISAR M IBRAHIM is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for INTISAR M IBRAHIM is Moonachie, NJ 07074. This licensed professional license is current. The license was granted 07/22/2014 and expired on 03/31/2016.

Michigan

Department of Licensing and Regulation

INTISAR M IBRAHIM
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704256577
Date granted
07/22/2014
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Moonachie, NJ 07074
michiganlicensing.org
ID 25859024
LAST UPDATED 2024-04-17 08:54:58 UTC

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