Michigan
Department of Licensing and Regulation
LACIE LYNN FEDEWA
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704254325
Date granted
07/14/2011
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Grand Rapids, MI 49503
michiganlicensing.org
ID 25858153
LAST UPDATED 2024-03-21 10:18:54 UTC
LAST UPDATED 2024-03-21 10:18:54 UTC
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