License holder summary

JACKIE LOUIE WIEDEMANN is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for JACKIE LOUIE WIEDEMANN is Coos Bay, OR 974202474.

Michigan

Department of Licensing and Regulation

JACKIE LOUIE WIEDEMANN
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704183131
Date expires
03/31/2000
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Lapsed
Address
Coos Bay, OR 974202474
michiganlicensing.org
ID 25862419
LAST UPDATED 2026-04-24 00:38:01 UTC

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