Michigan
Department of Licensing and Regulation
JACQUELINE ANNE UNTALAN
Nurse Registered & Licensed Practical - Lpn
License number
4703025523
Date granted
12/29/1969
Date expires
03/31/2004
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Crystal Falls, MI 49920
michiganlicensing.org
ID 25819325
LAST UPDATED 2024-03-26 20:01:00 UTC
LAST UPDATED 2024-03-26 20:01:00 UTC
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