License holder summary

JOHANNA DOROTHY NOWACKI is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for JOHANNA DOROTHY NOWACKI is Ballston Lake, NY 12019. This licensed professional license is not current. The license was granted 11/16/2011 and expired on 11/16/2012.

Michigan

Department of Licensing and Regulation

JOHANNA DOROTHY NOWACKI
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704288782
Date granted
11/16/2011
Date expires
11/16/2012
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Ballston Lake, NY 12019
michiganlicensing.org
ID 25840865
LAST UPDATED 2024-04-23 23:57:56 UTC

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