Michigan
Department of Licensing and Regulation
KIMBERLY PRUETT KUCKLEBURG
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704277404
Date granted
04/28/2010
Date expires
04/28/2011
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Smyrna, GA 30080
michiganlicensing.org
ID 25840130
LAST UPDATED 2026-05-07 21:09:48 UTC
LAST UPDATED 2026-05-07 21:09:48 UTC
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