Michigan
Department of Licensing and Regulation
JENNIFER MARIE ILACQUA
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704242794
Date granted
12/18/2012
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Sterling Heights, MI 48313
michiganlicensing.org
ID 25859029
LAST UPDATED 2024-04-04 17:06:12 UTC
LAST UPDATED 2024-04-04 17:06:12 UTC
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