Michigan
Department of Licensing and Regulation
KIMBERLY ANN BOUTWELL
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704280493
Date granted
09/03/2010
Date expires
09/03/2011
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Lapsed
Address
Glenville, NY 12302
michiganlicensing.org
ID 25838255
LAST UPDATED 2024-04-05 23:50:41 UTC
LAST UPDATED 2024-04-05 23:50:41 UTC
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