Michigan
Department of Licensing and Regulation
KRISTIE OTIS-MBAZOMO
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704293750
Date granted
07/16/2012
Date expires
07/16/2013
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Mobile, AL 36695
michiganlicensing.org
ID 25840931
LAST UPDATED 2024-03-19 01:18:54 UTC
LAST UPDATED 2024-03-19 01:18:54 UTC
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