License holder summary

KELLY K WIETECHA is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for KELLY K WIETECHA is Grosse Pointe Woods, MI 48236. This licensed professional license is current. The license was granted 09/20/1990 and expired on 03/31/2015.

Michigan

Department of Licensing and Regulation

KELLY K WIETECHA
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704176683
Date granted
09/20/1990
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Grosse Pointe Woods, MI 48236
michiganlicensing.org
ID 25862424
LAST UPDATED 2024-03-27 04:12:37 UTC

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