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 2026-04-26 20:43:42 UTC
LAST UPDATED 2026-04-26 20:43:42 UTC
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