License holder summary

KATRINA VAN DOMELEN WIKSTROM is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for KATRINA VAN DOMELEN WIKSTROM is Holland, MI 494238905.

Michigan

Department of Licensing and Regulation

KATRINA VAN DOMELEN WIKSTROM
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704112558
Date expires
03/31/2003
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Lapsed
Address
Holland, MI 494238905
michiganlicensing.org
ID 25862427
LAST UPDATED 2024-05-19 02:17:08 UTC

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