Michigan
Department of Licensing and Regulation
JENNIFER VIRGINIA DOMINGUEZ
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704268417
Date granted
09/09/2008
Date expires
09/09/2009
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Lapsed
Address
Fort Gratiot, MI 48059
michiganlicensing.org
ID 25838907
LAST UPDATED 2026-05-03 21:07:02 UTC
LAST UPDATED 2026-05-03 21:07:02 UTC
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